Individual
MELISSA ANN CRIMI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PNP
Contact information
Practice address
2233 NESCONSET HWY STE 207, LAKE GROVE, NY 11755
(631) 585-4440
Mailing address
2233 NESCONSET HWY STE 207, LAKE GROVE, NY 11755-1000
(631) 585-4440
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
22 632243
NY
363LP0200X
Pediatric Nurse Practitioner
Primary
382660
NY
Other
Enumeration date
07/29/2010
Last updated
12/12/2018
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