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NPI Code Detail

MEDICARE: MELANY DAFNIOTIDIS

MEDICARE: MELANY DAFNIOTIDIS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacist051263NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1568643666
Entity Type Code : Individual
Provider Name (Legal Business Name) : MELANY DAFNIOTIDIS
Provider Business Mailing Address
First Line : 2125 BROADWAY
Second Line :
City : LONG ISLAND CITY
State : NY
Zip : 11106-4532
Country : US
Telephone Number : 718-932-9200
Fax Number : 718-932-4996
Provider Business Practice Location Address
First Line : 2125 BROADWAY
Second Line :
City : LONG ISLAND CITY
State : NY
Zip : 11106-4532
Country : US
Telephone Number : 718-932-9200
Fax Number : 718-932-4996
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/16/2007
Last Update Date : 11/16/2007

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Directions to “ MELANY DAFNIOTIDIS ” Practice Location

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