| Doctor Name: | JENNIFER P MELNICK |
| NPI Number: | 1275719007 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RN |
| License Number: | 584911 |
| Business Practice Address: | 110 W River St Ilion, NY - 133571120 |
| Business Phone Number: | 3158948839 |
| Business Fax Number: | |
| Mailing Address: | 110 W River St, ILION |
| State: | NY |
| Postal Code: | 133571120 |
| Phone Number: | 3158948839 |
| Fax Number: | |
| NPI Enumeration Date: | 01/10/2008 |
| NPI Last Update Date: | 01/10/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WN0800X |
| License Number: | 584911 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Neuroscience |
| Taxonomy Definition: | |