Individual
MRS. MELISSA FERGUSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
400 EAST MAIN STREET, EMERGENCY DEPARTMENT, MT KISCO, NY 10549
(203) 852-2281
Mailing address
400 EAST MAIN STREET, EMERGENCY DEPARTMEN, MT KISCO, NY 10549
(914) 666-1254
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
2297
CT
363A00000X
Physician Assistant
23 013454
NY
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Enumeration date
08/26/2009
Last updated
11/25/2014
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