Individual
MRS. MELISSA LEE RAGUSA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
7 LONG ST, LAKE GROVE, NY 11755-1709
(631) 676-6063
Mailing address
7 LONG ST, LAKE GROVE, NY 11755-1709
(631) 676-6063
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
567014-1
NY
163WH0200X
Home Health Registered Nurse
Primary
567014-1
NY
163WP0200X
Pediatric Registered Nurse
567014-1
NY
163WS0200X
School Registered Nurse
567014-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02706201
—
NY
Enumeration date
06/20/2007
Last updated
09/11/2025
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