Individual provider · Type 1 NPI

Melissa Lange

Specialist · Staten Island, NY

NPI number 1649855719 Active

Practice location

4024 Amboy Rd
Staten Island, NY 10308-2409

Mailing address

234 Potter Ave
Staten Island, NY 10314-3072

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 1649855719

Melissa Lange's National Provider Identifier is 1649855719, issued on Mar 10, 2021. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Staten Island, NY. The record was last updated on Mar 10, 2021.