Individual provider · Type 1 NPI

Melissa Dimicco

Specialist · Coram, NY

NPI number 1255198636 Active

Practice location

1418 Avalon Pines Dr
Coram, NY 11727-5159

Call (631) 834-5087 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 1255198636

Melissa Dimicco's National Provider Identifier is 1255198636, issued on Mar 4, 2024. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Coram, NY. The record was last updated on Mar 4, 2024.