# AGELESS BEAUTY AND WELLNESS

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1730091919
- **Authorized official:** MS. ELIZABETH MELCHOR NP (NURSE PRACTITIONER)
- **Authorized official phone:** (917) 743-7543

## Contact information

- **Practice address:** 5 FORDHAM HILL OVAL, BRONX, NY 10468-4854
- **Practice address phone:** (917) 743-7543
- **Mailing address:** 418 BROADWAY STE R, ALBANY, NY 12207-2922
- **Mailing address phone:** (917) 743-7543

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LA2200X | Adult Health Nurse Practitioner | — | NULL | Yes |
| 363LA2200X | Adult Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 09/21/2026
- **Last updated:** 09/21/2026