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NPI Code Detail

MEDICARE: DR. MELIA LYN VITA M.D.

MEDICARE:  DR. MELIA LYN VITA  M.D.
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
1207L00000XAnesthesiology Physician323148NY
2207LP2900XPain Medicine (Anesthesiology) Physician323148NY
3207LP2900XPain Medicine (Anesthesiology) Physician63923TN

General Provider Information

NPI Number : 1568811677
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MELIA LYN VITA M.D.
Provider Business Mailing Address
First Line : 979 51ST ST
Second Line :
City : BROOKLYN
State : NY
Zip : 11219-3317
Country : US
Telephone Number : 718-435-6441
Fax Number :
Provider Business Practice Location Address
First Line : 979 51ST ST
Second Line :
City : BROOKLYN
State : NY
Zip : 11219-3317
Country : US
Telephone Number : 718-435-6441
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/09/2016
Last Update Date : 02/03/2026

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