Individual
MS. MELANIE MACINTOSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
6017 BUCHANAN PL, WEST NEW YORK, NJ 07093-2809
(551) 556-6116
Mailing address
6017 BUCHANAN PL, WEST NEW YORK, NJ 07093-2809
(551) 556-6116
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
F406426-01
NY
Other
Enumeration date
10/23/2024
Last updated
10/23/2024
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