Healthcare Provider Details

I. General information

NPI: 1386243079
Provider Name (Legal Business Name): MELANIE YAP RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/22/2020
Last Update Date: 10/22/2020
Certification Date: 10/22/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5334 206TH ST
OAKLAND GARDENS NY
11364-1714
US

IV. Provider business mailing address

5334 206TH ST
OAKLAND GARDENS NY
11364-1714
US

V. Phone/Fax

Practice location:
  • Phone: 718-213-2013
  • Fax:
Mailing address:
  • Phone: 718-213-2013
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WH0200X
TaxonomyHome Health Registered Nurse
License Number799399
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: