Individual
MELISSA LEO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Contact information
Practice address
1275 YORK AVE, NEW YORK, NY 10065-6007
(347) 798-9213
Mailing address
1275 YORK AVE, NEW YORK, NY 10065-6007
(213) 604-4275
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
407043
NY
Other
Enumeration date
05/27/2025
Last updated
08/07/2025
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