Individual
MELISSA A MONTOPOLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
418 S HAMILTON ST STE 109, PAINTED POST, NY 14870-9705
(607) 936-2089
(607) 936-8176
Mailing address
571 SAINT JOSEPHS BLVD FL 2, ELMIRA, NY 14901-3230
(607) 271-2050
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
338966
NY
363LF0000X
Family Nurse Practitioner
338966
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04039474
—
NY
Enumeration date
07/24/2014
Last updated
12/12/2017
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