Individual
MELLISA ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
10 PLAZA ST E STE 1E, BROOKLYN, NY 11238-4952
(347) 564-3211
(347) 710-1959
Mailing address
10 CALLAWAY DR, MONROE, NY 10950-3055
(347) 423-8542
(347) 710-1959
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
226865
NY
363L00000X
Nurse Practitioner
Primary
341016
NY
Other
Enumeration date
11/08/2016
Last updated
07/30/2026
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