SearchNew York164W00000X

Melrose Vicks, LPN

NPI 1659669356 · on the registry since 2011 · sole proprietor

Practice

Address
125 Front St
Suite 3
Massapequa Park, NY 11762
Phone
(516) 557-2142
Fax
(516) 557-2109
Clinicians at this address
2

Registry record

Primary taxonomy
164W00000X
164W00000X
Licence states on file
NY
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2011-07-14

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