Individual
DR. MELISSA R ARBUCKLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD, PHD
Contact information
Practice address
1051 RIVERSIDE DR, BOX 103, NEW YORK, NY 10032-1007
(646) 301-1797
Mailing address
1051 RIVERSIDE DR, BOX 103, NEW YORK, NY 10032-1007
(646) 301-1797
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
225722
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
225722
STATE PHYSICIAN LICENSE
NY
Enumeration date
11/07/2006
Last updated
07/08/2011
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