Individual
MELISSA ANN WALLENTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPA-C
Contact information
Practice address
41-40 27TH STREET, C/O THE FLOATING HOSPITAL, LONG ISLAND CITY, NY 11101
(718) 784-2240
(718) 784-0240
Mailing address
41-40 27TH STREET, C/O THE FLOATING HOSPITAL, LONG ISLAND CITY, NY 11101
(718) 784-2240
(718) 784-0240
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
011550
NY
363AM0700X
Medical Physician Assistant
Primary
011550
NY
Other
Enumeration date
01/05/2007
Last updated
09/24/2013
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