Green, Melissa

Green, Melissa is an individual health care provider with primary practice located at 703 Middleville Rd Rt 28 , Herkimer NY 13350-0107. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Green, Melissa can be contacted via phone (315) 866-7932.

Contact Information

Primary practice address
703 Middleville Rd Rt 28 Herkimer NY 13350-0107
Phone: (315) 866-7932
Fax: (315) 866-1814
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X 301947 New York

Profile Details

NPI number 1851601652
LBN Legal business name Green, Melissa
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 14th, 2010
Last updated Oct 18th, 2010 - about 14 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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Identifiers

StateTypeNumberIssuer
All States NPI 1851601652 NPPES
New York MEDICAID 301947

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