Dezan, Melissa R

Dezan, Melissa R is an individual health care provider with primary practice located at 7925 Winchester Blvd , Queens Village NY 11427-2128. She recently has 3 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Nursing Service Providers / Licensed Practical Nurse, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Dezan, Melissa R can be contacted via phone (718) 464-7500.

Contact Information

Primary practice address
7925 Winchester Blvd Queens Village NY 11427-2128
Phone: (718) 464-7500
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 726454 New York
Nursing Service Providers / Licensed Practical Nurse 164W00000X 3209241 New York
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 350891 New York

Profile Details

NPI number 1346609773
LBN Legal business name Dezan, Melissa R
Credentials MS, FNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 13th, 2016
Last updated Jan 21st, 2023 - about 2 years ago

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.

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