Search › New York › 363A00000X
Melissa Liebold, PA-C
NPI 1235725672 · on the registry since 2020 · sole proprietor
Practice
- Address
- 1500 Route 112 Ste A
Port Jefferson Station, NY 11776 - Phone
- (631) 265-4200
- Organisation at this address
- Thomas P. Erhart Do Pc
Port Jefferson Asc, Llc
True North Medical Group Pc
Away From Home Senior Day Care
Harbor View Medical Services PcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 68
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Also registered as
- 390200000X
- Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-03-01
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York