Individual provider · Type 1 NPI

Melissa Konikoff-Schuval, PA-C

Medical Physician Assistant · Lake Success, NY

NPI number 1477918019 Active

Practice location

6 Ohio Drive, Suite 201
Lake Success, NY 11042-1129

Fax (516) 224-1540

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X3706 (NY)

Medical Physician Assistant: Definition to come...

3 other providers at this address

About NPI 1477918019

Melissa Konikoff-Schuval, PA-C's National Provider Identifier is 1477918019, issued on Dec 28, 2015. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Lake Success, NY. The record was last updated on Mar 9, 2021.