Healthcare Provider Details

I. General information

NPI: 1417577602
Provider Name (Legal Business Name): MELISSA ANN MOST NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MELISSA ANN MOST NP

II. Dates (important events)

Enumeration Date: 04/17/2020
Last Update Date: 02/02/2024
Certification Date: 02/02/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4417 VESTAL PKWY E
VESTAL NY
13850-3556
US

IV. Provider business mailing address

33 LEWIS RD 2ND FL
BINGHAMTON NY
13905
US

V. Phone/Fax

Practice location:
  • Phone: 607-797-4496
  • Fax: 607-729-5995
Mailing address:
  • Phone: 607-770-0025
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number348264
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: