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Melissa Dale Liz, NP
Family Nurse Practitioner in West Islip, New York
NPI 1689323164

Melissa Dale Liz is a Family Nurse Practitioner based in Bay Shore, NY and is specialized in Family. Melissa Dale Liz practices in West Islip, NY and has the professional credentials of NP. The NPI Number for Melissa Dale Liz is 1689323164 and holds a License No. F348276-01 (New York).

The current practice location address for Melissa Dale Liz is 540 Union Blvd, West Islip, NY and can be reached out via phone at 631-669-2555.

Location: 540 Union Blvd, West Islip, NY, 11706-5335
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1689323164
Provider Name
Melissa Dale Liz
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
540 Union Blvd, West Islip, NY, 11706-5335
Phone Number
631-669-2555
Fax Number
Provider Enumeration Date
03/22/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
540 Union Blvd
City
West Islip
State
New York
Zip
11795-3105
Phone Number
631-669-2555
Fax Number
person
Provider Business Mailing Address Details
Address
540 Union Blvd
City
West Islip
State
New York
Zip
11795-3105
Phone Number
631-669-2555
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
F348276-01 (New York)
Definition
Definition to come...
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