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Stephanie Melendez

Case Manager/Care Coordinator in Forest Hills, NY. Individual provider (NPI-1).

NPI number1366072811
StatusActive
Last updated in NPPESMar 5, 2021

Details

NPI
1366072811
Entity type
Individual (NPI-1)
Name
Stephanie Melendez
Sex
Female
Sole proprietor
No
Enumeration date
Jan 23, 2020
Certification date
Mar 5, 2021
Last updated
Mar 5, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
171M00000X Case Manager/Care Coordinator––Yes
106S00000X Behavior Technician––

Practice location

7000 Austin St
Forest Hills, NY 11375-1022

Phone 718-762-7633

Mailing address

7000 Austin St
Forest Hills, NY 11375-1022

Phone 718-762-7633

Other practice locations

901 Sneath Ln Ste 105
San Bruno, CA 94066-2415

Phone 650-515-9882

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