Individual
MELANIE OLGA MENDOZA-AGUILAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
161 FORT WASHINGTON AVE, NEW YORK, NY 10032-3729
(212) 305-7060
Mailing address
309 W 106TH ST APT 5A, NEW YORK, NY 10025-3493
(845) 591-4134
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
432648
NY
363LA2100X
Acute Care Nurse Practitioner
Primary
F432648
NY
Other
Enumeration date
06/12/2023
Last updated
06/13/2024
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