Individual
ANDY MELENDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1623 KINGS HWY, BROOKLYN, NY 11229-1209
(929) 636-5917
Mailing address
1623 KINGS HWY, BROOKLYN, NY 11229-1209
(929) 636-5917
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
06/17/2020
Last updated
05/13/2026
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