Individual provider · Type 1 NPI

Melissa Mediate

Specialist · Commack, NY

NPI number 1093205205 Active

Practice location

9 Smiths Ln
Commack, NY 11725-3510

Call (631) 543-2338 Map

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XNone listed

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1093205205

Melissa Mediate's National Provider Identifier is 1093205205, issued on May 14, 2018. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Commack, NY. The record was last updated on May 14, 2018.