MEDICARE: MS. MELISSA LAUREN ZIEGLER MA ECE SPED

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
1	174400000X	Specialist	1639723221	NY

General Provider Information

NPI Number	:	1760235279
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. MELISSA LAUREN ZIEGLER MA ECE SPED

Provider Business Mailing Address
First Line	:	6 KNOLLCREST RD
Second Line	:
City	:	NESCONSET
State	:	NY
Zip	:	11767-2810
Country	:	US
Telephone Number	:	631-316-2006
Fax Number	:

Provider Business Practice Location Address
First Line	:	80 ORVILLE DR STE 10010185
Second Line	:
City	:	BOHEMIA
State	:	NY
Zip	:	11716-2534
Country	:	US
Telephone Number	:	631-385-7780
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/08/2024
Last Update Date	:	04/08/2024

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