NPI Registry.org

Melissa R Dezan

NPI Registration Record

Provider / OrganizationNPIDate Certified
MELISSA R DEZAN13466097732023-01-21

Melissa R Dezan is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1346609773. Registration indicates Melissa R Dezan is a provider of services with a specialization in Nursing Service Providers, Registered Nurse (Registered Nurse, ) (All Other Specialties & Provider Types, ) (Registered Nurse, Nursing Service Providers) (Nursing Service Providers, Licensed Practical Nurse) (Licensed Practical Nurse, ) (Licensed Practical Nurse, Nursing Service Providers) Access to Adult/Geriatric Primary Care Providers (Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner) Access to Pediatric Primary Care Providers (Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner) (Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner) (Nurse Practitioner: Family, ) (All Other Specialties & Provider Types, ) (Nurse Practitioner Family, Physician Assistants & Advanced Practice Nursing Providers) (Nurse Practitioner, )

Entity TypeIndividual
Provider NameMiss Melissa R Dezan MS, FNP-BC
Other Provider NameMs. Melissa R Dezan
Practice Office Address7925 WINCHESTER BLVD
QUEENS VILLAGE, NY US
Practice Office Telephone7184647500
Mailing Address1434 ALPHA ST
ELMONT, NY 110032403 US
Offices / Locations
AddressCity / StatePhone / Fax
1434 Alpha St Elmont, NY 110032403 0000000003
HPT Codes
CodePractice
License No
State
163W00000X
Nursing Service Providers
Registered Nurse
Registered Nurse

All Other Specialties & Provider Types

Registered Nurse
Nursing Service Providers
726454
NY
164W00000X
Nursing Service Providers
Licensed Practical Nurse
Licensed Practical Nurse

Licensed Practical Nurse
Nursing Service Providers
3209241
NY
363LF0000X PRIMARYAccess to Adult/Geriatric Primary Care Providers
Physician Assistants & Advanced Practice Nursing Providers
Nurse PractitionerAccess to Pediatric Primary Care Providers
Physician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
Physician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
Nurse Practitioner: Family

All Other Specialties & Provider Types

Nurse Practitioner Family
Physician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
350891
NY
OPI Codes
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