Liz, Melissa Dale

Liz, Melissa Dale is an sole proprietor health care provider with primary practice located at 540 Union Blvd , West Islip NY 11795-3105. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Liz, Melissa Dale can be contacted via phone (631) 669-2555.

Contact Information

Primary practice address
540 Union Blvd West Islip NY 11795-3105
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X F348276-01 New York

Profile Details

NPI number 1689323164
LBN Legal business name Liz, Melissa Dale
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 22nd, 2022
Last updated Mar 22nd, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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