Healthcare Provider Details

I. General information

NPI: 1770727018
Provider Name (Legal Business Name): MELISSA ANN LAUDANO
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/30/2009
Last Update Date: 10/07/2025
Certification Date: 10/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

525 E 68TH ST
NEW YORK NY
10065-4870
US

IV. Provider business mailing address

37 COMPASS LN
WEST HAVEN CT
06516-7116
US

V. Phone/Fax

Practice location:
  • Phone: 212-746-5380
  • Fax:
Mailing address:
  • Phone: 617-877-6714
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2088F0040X
TaxonomyUrogynecology and Reconstructive Pelvic Surgery (Urology) Physician
License Number278986
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: