Individual
MELIZE WILTSHIRE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
535 FLUSHING AVE, BROOKLYN, NY 11205-1610
(929) 800-2340
Mailing address
21940 143RD RD, SPRINGFIELD GARDENS, NY 11413-3113
(929) 278-0470
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
630152936
METRO PLUS HEALTH PLAN
NY
Enumeration date
06/22/2021
Last updated
06/22/2021
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