D'Amato, Melissa
D'Amato, Melissa is an individual health care provider with primary practice located at 140 Hazard Ave Ste 105 , Enfield CT 06082-5424. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Medical is her primary health care specialty. D'Amato, Melissa can be contacted via phone (860) 714-9733.Contact Information
Primary practice address
140 Hazard Ave Ste 105
Enfield CT 06082-5424
Phone: (860) 714-9733
Fax: (860) 714-8136
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 010711-1 | New York |
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 004904 | Connecticut |
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | PA9104557 | Florida |
| Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | 4904 | Connecticut |
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 4904 | Connecticut |
Profile Details
| NPI number | 1023083292 |
|---|---|
| LBN Legal business name | D'Amato, Melissa |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 21st, 2006 |
| Last updated | Aug 2nd, 2023 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1023083292 | NPPES |
| Florida | MEDICAID | 000728800 | |
| Florida | MEDICAID | 685778036A | |
| Florida | Other | RAILROAD MEDICARE |
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