Individual
MELISSA NAHCIVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12 W 48TH ST FL 4, NEW YORK, NY 10036-1834
(212) 406-3686
Mailing address
525 E 68TH ST, NEW YORK, NY 10065-4870
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
062583
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/04/2021
Last updated
02/14/2024
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