Melissa A Fardella

NPI #1477268696 in Medford, New York

Provider Information

NPI Number
1477268696
Entity Type
Individual
Name
Melissa A Fardella
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Specialist
Enumeration Date
Jan 23, 2023
Last Updated
Jan 23, 2023

Practice Location

Address
12 PLATINUM CT
ZIP Code
11763-2247
Phone
(631) 868-3577

Specialties & Taxonomy Codes

Specialty
Specialist

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