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NPI Profile for SUSAN B MELNICK in RIVERHEAD, NY.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
General Practice |
163WG0000X |
| NPI Number | 1366565202 |
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| Status | Active | |
| Credentials | NURSE PRACTITIONER | |
| Entity | Individual | |
| Enumeration date | 04/07/2007 | |
| Last updated | 01/10/2012 - About 14 years ago | |
| Sole proprietor 1 | No | |
| Identifiers |
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| Hospital affiliation(s) |
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SUSAN B MELNICK
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SUSAN B MELNICK, NURSE PRACTITIONER