Individual
MELANIE MELENDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1275 YORK AVE, NEW YORK, NY 10065-6007
(212) 639-6942
Mailing address
83 WOODS AVE, MALVERNE, NY 11565-1032
(631) 433-7300
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F308918-1
NY
Other
Enumeration date
09/22/2018
Last updated
04/14/2023
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