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NPI Code Detail

MEDICARE: MELISSA MARTIN-CHAMBERS RN

MEDICARE: MELISSA MARTIN-CHAMBERS RN
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
1163W00000XRegistered Nurse639829NY

General Provider Information

NPI Number : 1679853964
Entity Type Code : Individual
Provider Name (Legal Business Name) : MELISSA MARTIN-CHAMBERS RN
Provider Business Mailing Address
First Line : 27 N COLUMBUS AVE
Second Line : APT4A
City : MOUNT VERNON
State : NY
Zip : 10553-1028
Country : US
Telephone Number : 718-671-2100
Fax Number :
Provider Business Practice Location Address
First Line : 27 N COLUMBUS AVE
Second Line : APT4A
City : MOUNT VERNON
State : NY
Zip : 10553-1028
Country : US
Telephone Number : 718-671-2100
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/18/2011
Last Update Date : 08/18/2011

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