Individual provider · Type 1 NPI

Kimberly Ann Melnik, MS ED

Specialist · Syracuse, NY

NPI number 1104180421 Active

Practice location

171 Intrepid Ln
Syracuse, NY 13205-2548

Call (315) 437-4689 Map

Fax (315) 437-4698

Mailing address

4268 Gemini Path
Liverpool, NY 13090-1937

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X515192111 (NY)
Specialist 174400000X474463101 (NY)

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 1104180421

Kimberly Ann Melnik, MS ED's National Provider Identifier is 1104180421, issued on Jul 2, 2012. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Syracuse, NY. The record was last updated on Jul 2, 2012.