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MELISSA DIMICCO
NPI 1255198636
Specialist in Coram, NY

Active since March 04, 2024
1418 AVALON PINES DR, CORAM, NY 11727(631) 834-5087 Get Directions Write a Review

NPPES record last updated: March 4, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Melissa Dimicco NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MELISSA DIMICCO (NPI 1255198636) is an individual specialist in Coram, New York and active in the NPI registry since March 2024.

NPPES Registry Identity

NPI1255198636
Entity TypeIndividualFemale
Primary Taxonomy174400000X
Provider Legal NameMELISSA DIMICCO
Location Address1418 AVALON PINES DRCoram, NY 11727-5159
Mailing Address1418 Avalon Pines DrCoram, NY 11727-5159 · (631) 834-5087
Phone(631) 834-5087
Sole ProprietorYes
Enumeration DateMarch 4, 2024
NPPES CertifiedMarch 3, 2024
✔ NPI 1255198636 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
1418 AVALON PINES DR, Coram, NY 11727
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Melissa Dimicco's NPI number?

The NPI number for Melissa Dimicco is 1255198636. It was assigned to this individual provider in the NPPES registry on March 4, 2024.

Where is Melissa Dimicco located?

Melissa Dimicco practices at 1418 Avalon Pines Dr, Coram, NY 11727. The listed phone number is (631) 834-5087.

What is Melissa Dimicco's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Melissa Dimicco was last updated on March 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.