Individual
MELISSA LYNN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
42 MORGAN AVE, PORT JEFFERSON STATION, NY 11776-2103
(631) 830-1574
Mailing address
42 MORGAN AVE, PORT JEFFERSON STATION, NY 11776-2103
(631) 830-1574
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
644397
NY
Other
Enumeration date
11/21/2011
Last updated
11/21/2011
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