Healthcare Provider Details

I. General information

NPI: 1013172469
Provider Name (Legal Business Name): MELODY HOPE OPPEDISANO FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/25/2008
Last Update Date: 10/02/2025
Certification Date: 10/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1880 COMMERCE ST
YORKTOWN HEIGHTS NY
10598-4431
US

IV. Provider business mailing address

3584 DANE ST
SHRUB OAK NY
10588-1802
US

V. Phone/Fax

Practice location:
  • Phone: 914-962-5556
  • Fax:
Mailing address:
  • Phone: 914-815-5027
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number345581
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number601639
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: