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Individual

MELISSA AYEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PMHNP-BC

Contact information

Practice address
214 KING ST, OGDENSBURG, NY 13669-1142
(315) 713-5720
Mailing address
214 KING ST, OGDENSBURG, NY 13669-1142
(315) 713-5720

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
641956
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
404990
NY

Other

Enumeration date
05/12/2011
Last updated
06/19/2023
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