Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MELISSA LIEBOLD, PA-C
Active Sole ProprietorMELISSA LIEBOLD, PA-C is a Physician Assistant healthcare provider located in PORT JEFFERSON STATION, New York. NPI 1235725672 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · PORT JEFFERSON STATION, NY
Registration Details
- NPI Number
- 1235725672
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Dec 20, 2020 (5.6454896951712 yrs)
- Last Updated
- Mar 1, 2024
- License
-
026336 (NY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1500 ROUTE 112 STE APORT JEFFERSON STATION, NY, 117768055Browse NY providers · Browse ZIP 11776
- Phone
- 6312654200
- Primary Specialty
-
Physician Assistant
363A00000X
- Additional Specialty
- Physician Assistant
Other Physician Assistant Providers in PORT JEFFERSON STATION, NY
| Name | Credential | NPI |
|---|---|---|
| MS. MARIA ALBA MCMANUS | R.P.A.C. | 1821051921 |
| NOAMI MOREY | PA | 1053364133 |
| DONNA COLLORA | PA | 1972654960 |
| STACEY DIGIACOMO | P.A. | 1023233103 |
| MR. GERARD STEVEN GUZMAN | RPA-C | 1790903862 |
| LINDSAY M COMO | RPAC | 1558562041 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.