Individual
MS. MELISSA CATHERINE CARMODY-BAVASI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1275 YORK AVE, NEW YORK, NY 10065-6007
(212) 639-2024
Mailing address
512 E 80TH ST, #24, NEW YORK, NY 10075-0755
(212) 249-1349
Taxonomy
Speciality
Code
Description
License number
State
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
010700
NY
363AS0400X
Surgical Physician Assistant
Primary
010700
NY
Other
Enumeration date
04/03/2009
Last updated
10/21/2024
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