Individual
MELISSA VERGARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGNP-BC
Contact information
Practice address
50 BLACKSMITH RD, LEVITTOWN, NY 11756-3115
(917) 536-1944
Mailing address
50 BLACKSMITH RD, LEVITTOWN, NY 11756-3115
(917) 536-1944
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F309809
NY
Other
Enumeration date
02/09/2021
Last updated
02/09/2021
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