Individual
MELISSA RAVIDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
407 ALBANY SHAKER RD, LOUDONVILLE, NY 12211-1900
(518) 435-1300
Mailing address
54 LINTON AVE, ALBANY, NY 12205-3235
(518) 308-5887
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
312195
NY
Other
Enumeration date
05/13/2025
Last updated
05/13/2025
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