IndividualActive
Melissa Dimicco
NPI 1255198636 · Specialist · Coram, NY
Melissa Dimicco is a Specialist provider in Coram, NY (NPI 1255198636).
Provider details
- NPI number
- 1255198636
- Entity type
- Individual
- Primary specialty
- SpecialistOther Service Providers
- Sex
- Female
- Sole proprietor
- Yes
Practice location
1418 Avalon Pines Dr
Coram, NY 11727-5159
Phone: (631) 834-5087
Street-level locationGet directions
Mailing address
1418 Avalon Pines Dr
Coram, NY 11727-5159
Registry dates
- Enumerated
- 2024-03-04
- Last updated
- 2024-03-04
- Certified
- 2024-03-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.