Individual provider · Type 1 NPI

Melissa Flaccavento Maietta, M.S.

Specialist · Staten Island, NY

NPI number 1871858951 Active

Practice location

253 Lamport Blvd
Staten Island, NY 10305-3503

Fax (718) 720-0173

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X891798 (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 1871858951

Melissa Flaccavento Maietta, M.S.'s National Provider Identifier is 1871858951, issued on Jul 5, 2012. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Staten Island, NY. The record was last updated on Jul 5, 2012.