Individual
MELISSA VIGNONA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
762 59TH ST, BROOKLYN, NY 11220-3936
(800) 750-8616
Mailing address
26 FIREMENS MEMORIAL DR STE 115, POMONA, NY 10970-3569
(845) 362-8400
(845) 362-8474
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
0424439
NY
Other
Enumeration date
01/09/2019
Last updated
01/09/2019
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