Provider Demographics
NPI:1124067814
Name:COLSANT, MELISSA (PA)
Entity type:Individual
Prefix:MRS
First Name:MELISSA
Middle Name:
Last Name:COLSANT
Suffix:
Gender:F
Credentials:PA
Other - Prefix:MISS
Other - First Name:MELISSA
Other - Middle Name:
Other - Last Name:SANFILIPPO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PA
Mailing Address - Street 1:1935 EASTCHESTER RD
Mailing Address - Street 2:APT 7 F
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10461-2140
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:5 PERRYRIDGE RD
Practice Address - Street 2:
Practice Address - City:GREENWICH
Practice Address - State:CT
Practice Address - Zip Code:06830-4608
Practice Address - Country:US
Practice Address - Phone:203-863-3906
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-06-06
Last Update Date:2025-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY010724363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant