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NPI Code Detail

MEDICARE: MELISSA MOY APN

MEDICARE: MELISSA MOY APN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LP0808XPsychiatric/Mental Health Nurse Practitioner402384NY

General Provider Information

NPI Number : 1194219980
Entity Type Code : Individual
Provider Name (Legal Business Name) : MELISSA MOY APN
Provider Business Mailing Address
First Line : 49 WINDING WAY
Second Line :
City : WEST ORANGE
State : NJ
Zip : 07052-3820
Country : US
Telephone Number : 917-791-0174
Fax Number :
Provider Business Practice Location Address
First Line : 378 UNION AVENUE
Second Line : OFC B
City : BROOKLYN
State : NY
Zip : 11211-3429
Country : US
Telephone Number : 917-791-0174
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/15/2018
Last Update Date : 12/30/2021

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