Provider Demographics
NPI:1790828200
Name:MELGAREJO, ROSARIO PILAR
Entity Type:Individual
Prefix:MS
First Name:ROSARIO
Middle Name:PILAR
Last Name:MELGAREJO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8 SURREY LN
Mailing Address - Street 2:
Mailing Address - City:LEVITTOWN
Mailing Address - State:NY
Mailing Address - Zip Code:11756-4922
Mailing Address - Country:US
Mailing Address - Phone:631-839-0330
Mailing Address - Fax:
Practice Address - Street 1:8 SURREY LN
Practice Address - Street 2:
Practice Address - City:LEVITTOWN
Practice Address - State:NY
Practice Address - Zip Code:11756-4922
Practice Address - Country:US
Practice Address - Phone:631-839-0330
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist