Individual
MS. MELISA VU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
8229 SAINT JAMES AVE, ELMHURST, NY 11373-3720
(917) 939-2711
Mailing address
8229 SAINT JAMES AVE, ELMHURST, NY 11373-3720
(917) 939-2711
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
612477
NY
363LA2200X
Adult Health Nurse Practitioner
Primary
307514
NY
Other
Enumeration date
10/27/2016
Last updated
10/27/2016
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