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General NPI Number Information
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NPI Number | 1598826604
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Entity Type | Individual
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Provider Name | MELISSA DAWN FULGIERI PSY.D.
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Gender | Female
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Dates
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Enumeration Date | 12/12/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 1400 PELHAM PARKWAY SOUTH BUILDING 4 NR-8S2
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City | BRONX
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State | NY
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Zip | 10461
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Country | US
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Telephone | 718-918-6176
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Fax | 718-918-6160
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Provider Business Mailing Address
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Address Line | 2086 WALTOFFER AVE
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City | NORTH BELLMORE
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State | NY
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Zip | 11710-1533
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Country | US
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Telephone | 718-918-6176
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Fax | 718-918-6160
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Psychologist
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License Number | 014940
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 014940
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License Number State | NY
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