Basic Information
Provider Information
NPI: 1306987078
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: MONSEY
FirstName: MELISSA
MiddleName:  
NamePrefix: MRS.
NameSuffix:  
Credential: OTRL
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 511 E. 87TH ST.
Address2: #10
City: NEW YORK
State: NY
PostalCode: 10128
CountryCode: US
TelephoneNumber: 2122889005
FaxNumber:  
Practice Location
Address1: 245 E 149TH ST
Address2:  
City: BRONX
State: NY
PostalCode: 104515516
CountryCode: US
TelephoneNumber: 7186657565
FaxNumber:  
Other Information
ProviderEnumerationDate: 02/08/2007
LastUpdateDate: 07/08/2007
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
225X00000X013136-1NYY Respiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist 

No ID Information.


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