Individual
MELISSA MAURA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
100 WOODS RD, VALHALLA, NY 10595-1530
(914) 493-1748
Mailing address
34 GLENSIDE DR, NEW CITY, NY 10956-5933
(845) 323-7485
Taxonomy
Speciality
Code
Description
License number
State
2251N0400X
Neurology Physical Therapist
Primary
037433
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
037433
NY LICENSE OF PROFESSIONALS
NY
Enumeration date
11/26/2020
Last updated
11/26/2020
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