Individual provider · Type 1 NPI

Melissa Antonow

Pediatric Nurse Practitioner · Commack, NY

NPI number 1255837407 Active

Practice location

154 Commack Rd Ste 100
Commack, NY 11725-3457

Call (631) 499-8282 Map

Mailing address

6141 69th Pl
Middle Village, NY 11379-1126

Other practice locations

  • 6655 Fresh Pond Rd, Ridgewood, NY 11385-3261 · (718) 497-1919

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000X631114 (NY)
Pediatric Nurse Practitioner 363LP0200XF3822794-1 (NY)
Pediatric Nurse Practitioner Primary 363LP0200XF382794 (NY)

Pediatric Nurse Practitioner: Definition to come...

2 other providers at this address

Other pediatric nurse practitioner providers in Commack

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About NPI 1255837407

Melissa Antonow's National Provider Identifier is 1255837407, issued on Apr 4, 2018. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Commack, NY. The record was last updated on Jul 14, 2022.