Wilson, Melissa
Wilson, Melissa is an sole proprietor health care provider with primary practice located at 27 Barker Ave Apt 311 , White Plains NY 10601-1558. She recently has only one registered license in Agencies / Early Intervention Provider Agency, which is considered as her primary health care specialty. Wilson, Melissa can be contacted via phone (845) 489-2842.Contact Information
Primary practice address
27 Barker Ave Apt 311
White Plains NY 10601-1558
Phone: (845) 489-2842
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Agencies / Early Intervention Provider Agency | 252Y00000X | 561133111 | New York |
Profile Details
| NPI number | 1972853505 |
|---|---|
| LBN Legal business name | Wilson, Melissa |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 11th, 2012 |
| Last updated | Sep 14th, 2012 - about 13 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1972853505 | NPPES |
| New York | Other | 174400000X | EARLY INTERVENTION SERVICE PROVIDER |
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