Individual
MRS. MELISSA D'AMATO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
140 HAZARD AVE STE 105, ENFIELD, CT 06082-5424
(860) 714-9733
(860) 714-8136
Mailing address
140 HAZARD AVE STE 105, ENFIELD, CT 06082-5424
(860) 714-9733
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
004904
CT
363A00000X
Physician Assistant
010711-1
NY
363AM0700X
Medical Physician Assistant
Primary
4904
CT
363AM0700X
Medical Physician Assistant
PA9104557
FL
363AS0400X
Surgical Physician Assistant
4904
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000728800
—
FL
05
—
685778036A
—
FL
01
—
RAILROAD MEDICARE
P00727972
GA
Enumeration date
02/21/2006
Last updated
08/02/2023
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