Provider Demographics
NPI:1588718357
Name:FERRARA, MELISSA ANNE (FNP)
Entity type:Individual
Prefix:MRS
First Name:MELISSA
Middle Name:ANNE
Last Name:FERRARA
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2975 WESTCHESTER AVE
Mailing Address - Street 2:SUITE G-03
Mailing Address - City:PURCHASE
Mailing Address - State:NY
Mailing Address - Zip Code:10577-2518
Mailing Address - Country:US
Mailing Address - Phone:914-328-3700
Mailing Address - Fax:914-683-0974
Practice Address - Street 1:2975 WESTCHESTER AVE
Practice Address - Street 2:SUITE G-03
Practice Address - City:PURCHASE
Practice Address - State:NY
Practice Address - Zip Code:10577-2518
Practice Address - Country:US
Practice Address - Phone:914-328-3700
Practice Address - Fax:914-683-0974
Is Sole Proprietor?:No
Enumeration Date:2007-01-22
Last Update Date:2018-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF333121-1363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily