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Individual
MELISSA MANDURANO
Active
Individual
MELISSA MANDURANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, NP-F
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
357285
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
667493
RN
NY
Enumeration date
02/12/2016
Last updated
08/05/2025
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