Provider Demographics
NPI:1730989443
Name:UMANA, DINOSCA MELISSA
Entity type:Individual
Prefix:
First Name:DINOSCA
Middle Name:MELISSA
Last Name:UMANA
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:85 CROOKED HILL RD
Mailing Address - Street 2:
Mailing Address - City:COMMACK
Mailing Address - State:NY
Mailing Address - Zip Code:11725-5407
Mailing Address - Country:US
Mailing Address - Phone:631-864-1975
Mailing Address - Fax:631-864-2173
Practice Address - Street 1:85 CROOKED HILL RD
Practice Address - Street 2:
Practice Address - City:COMMACK
Practice Address - State:NY
Practice Address - Zip Code:11725-5407
Practice Address - Country:US
Practice Address - Phone:631-864-1975
Practice Address - Fax:631-864-2173
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-13
Last Update Date:2025-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY010657-01156FX1800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOptician