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NPI Code Detail

MEDICARE: MELANIE KING

MEDICARE: MELANIE KING
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363L00000XNurse Practitioner552829-1NY
2363LF0000XFamily Nurse Practitioner343005NY

General Provider Information

NPI Number : 1205461928
Entity Type Code : Individual
Provider Name (Legal Business Name) : MELANIE KING
Provider Business Mailing Address
First Line : 25 CHAPEL ST STE 701
Second Line :
City : BROOKLYN
State : NY
Zip : 11201-1917
Country : US
Telephone Number : 718-858-9658
Fax Number : 718-858-9670
Provider Business Practice Location Address
First Line : 25 CHAPEL ST STE 701
Second Line :
City : BROOKLYN
State : NY
Zip : 11201-1917
Country : US
Telephone Number : 718-858-9658
Fax Number : 718-858-9670
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/04/2020
Last Update Date : 02/02/2024

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Directions to “ MELANIE KING ” Practice Location

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