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
Phone: (631) 669-2555
Fax:
Website:
Health care specialties
| Specialty | Code | License # | 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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