MELISSA DALE LIZ

WEST ISLIP, NY
NPI1689323164
Former NameMELISSA DALE MCKENNA
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: NY  F348276-01)
Enumeration Date2022-03-22
Last Update Date2022-03-22
Business Address
MELISSA DALE LIZ NP
540 UNION BLVD
WEST ISLIP, NY 11795-3105
Phone number: 631-669-2555
Mailing Address
MELISSA DALE LIZ NP
38 MUNCEY RD
BAY SHORE, NY 11706-5335
Phone number: 631-691-9129
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