Antonow, Melissa

Antonow, Melissa is an individual health care provider with primary practice located at 154 Commack Rd Ste 100 , Commack NY 11725-3457. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Pediatrics. Physician Assistants & Advanced Practice Nursing Providers / Pediatrics is her primary health care specialty. Antonow, Melissa can be contacted via phone (631) 499-8282.

Contact Information

Primary practice address
154 Commack Rd Ste 100 Commack NY 11725-3457
Phone: (631) 499-8282
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 631114 New York
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X F3822794-1 New York
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X F382794 New York

Profile Details

NPI number 1255837407
LBN Legal business name Antonow, Melissa
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 4th, 2018
Last updated Jul 14th, 2022 - about 2 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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