Healthcare Provider Details

I. General information

NPI: 1225962988
Provider Name (Legal Business Name): MELISSA BERNIER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/09/2026
Last Update Date: 06/09/2026
Certification Date: 06/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

418 BROADWAY STE N
ALBANY NY
12207-2922
US

IV. Provider business mailing address

8 WILES DR
STONY POINT NY
10980-2412
US

V. Phone/Fax

Practice location:
  • Phone: 845-212-6769
  • Fax:
Mailing address:
  • Phone: 845-480-6037
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code246RP1900X
TaxonomyPhlebotomy Technician
License Number
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: