Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Melissa Dimicco

Individual provider Specialist · NPI 1255198636

Melissa Dimicco is a Specialist in Coram, New York. Practices as a sole proprietor. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

1418 Avalon Pines Dr
Coram, NY 11727-5159
Phone: (631) 834-5087
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X

Record details

NPI number1255198636
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMarch 4, 2024
Last updated in NPPESMarch 4, 2024
Certification dateMarch 3, 2024
Mailing address1418 Avalon Pines Dr, Coram, NY 11727-5159

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