MEDICARE: MS. MELISSA DIGREGORIO

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
1	101YM0800X	Mental Health Counselor	009818	NY

General Provider Information

NPI Number	:	1962951731
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. MELISSA DIGREGORIO

Provider Business Mailing Address
First Line	:	118 BAY TER
Second Line	:
City	:	STATEN ISLAND
State	:	NY
Zip	:	10306-3602
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	118 BAY TER
Second Line	:
City	:	STATEN ISLAND
State	:	NY
Zip	:	10306-3602
Country	:	US
Telephone Number	:	646-465-3390
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/22/2016
Last Update Date	:	02/22/2024

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