Active NPIIndividual providerSole proprietor

Mrs. Melanie Gonzalez Montecalvo, MSED

Specialist in Staten Island, New York

NPI Number1396090072
Practice location
4024 Amboy RD, Staten Island, NY 10308-2409
Fax
718-967-2073
Last updated
July 18, 2012

Melanie Gonzalez Montecalvo is a Specialist based in Staten Island, NY. Melanie Gonzalez Montecalvo practices in Staten Island, NY and has the professional credentials of MSED. The NPI Number for Melanie Gonzalez Montecalvo is 1396090072 and holds a License No. 828183 (NY). The current practice location address for Melanie Gonzalez Montecalvo is 4024 Amboy RD, Staten Island, NY 10308-2409 and can be reached out via phone at 718-984-9022 and via fax at 718-967-2073.

Provider Profile Details

NPI Number
1396090072
Provider Name
Melanie Gonzalez Montecalvo
Credential
MSED
Provider Entity Type
Individual
Gender
Female
Address
4024 Amboy RD, Staten Island, NY 10308-2409
Phone Number
718-984-9022
Fax Number
718-967-2073
Primary Taxonomy
Specialist · 174400000X
Sole Proprietor
Yes
Provider Enumeration Date
July 18, 2012
Last Update Date
July 18, 2012
NPI Status
Active

Provider Business Practice Location Address Details

Address
4024 Amboy RD
Staten Island, NY 10308-2409
Zip
10308-2409
Phone Number
718-984-9022
Fax Number
718-967-2073
Staten Island, NY 10308Get directions →

Provider Business Mailing Address Details

Address
22 Patty CT
Staten Island, NY 10312-2458
City
Staten Island
State
NY
Zip
10312-2458
Phone Number
718-356-1020

License Information

License Number
828183
License State
NY
Taxonomy
Specialist · 174400000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mrs. Melanie Gonzalez Montecalvo, MSED?

The NPI number of Mrs. Melanie Gonzalez Montecalvo, MSED is 1396090072. It was assigned on July 18, 2012 and is currently active in the NPPES registry.

What is the specialty of Mrs. Melanie Gonzalez Montecalvo, MSED?

Mrs. Melanie Gonzalez Montecalvo, MSED is registered under the primary taxonomy Specialist (code 174400000X), licensed in NY under license number 828183.

Where does Mrs. Melanie Gonzalez Montecalvo, MSED practice?

The practice location is 4024 Amboy RD, Staten Island, NY 10308-2409. The office can be reached at 718-984-9022 (phone) or 718-967-2073 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1396090072 directly on the NPPES registry website.

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