Provider Demographics
NPI:1548635576
Name:CIOFFI, MELISSA RENEE (PT)
Entity type:Individual
Prefix:
First Name:MELISSA
Middle Name:RENEE
Last Name:CIOFFI
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:159 WEBER HILL RD
Mailing Address - Street 2:
Mailing Address - City:CARMEL
Mailing Address - State:NY
Mailing Address - Zip Code:10512-3704
Mailing Address - Country:US
Mailing Address - Phone:845-253-1175
Mailing Address - Fax:845-231-6749
Practice Address - Street 1:159 WEBER HILL RD
Practice Address - Street 2:
Practice Address - City:CARMEL
Practice Address - State:NY
Practice Address - Zip Code:10512-3704
Practice Address - Country:US
Practice Address - Phone:845-253-1175
Practice Address - Fax:845-231-6749
Is Sole Proprietor?:Yes
Enumeration Date:2015-12-02
Last Update Date:2019-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT011320225100000X
NY039612225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist