Individual
NICKESHA MELVILLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2811 QUEENS PLZ N, LONG ISLAND CITY, NY 11101-4172
(718) 391-8300
Mailing address
3400 SNYDER AVE APT 3K, BROOKLYN, NY 11203-3937
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
Primary
934376
NY
Other
Enumeration date
02/19/2025
Last updated
02/19/2025
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