Provider Demographics
NPI:1003078619
Name:DEVLIN, MELISSA S (MD)
Entity Type:Individual
Prefix:
First Name:MELISSA
Middle Name:S
Last Name:DEVLIN
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:891 NORTHERN BLVD
Mailing Address - Street 2:SUITE 203
Mailing Address - City:GREAT NECK
Mailing Address - State:NY
Mailing Address - Zip Code:11021-5334
Mailing Address - Country:US
Mailing Address - Phone:516-773-6300
Mailing Address - Fax:516-706-4700
Practice Address - Street 1:891 NORTHERN BLVD
Practice Address - Street 2:SUITE 203
Practice Address - City:GREAT NECK
Practice Address - State:NY
Practice Address - Zip Code:11021-5334
Practice Address - Country:US
Practice Address - Phone:516-773-6300
Practice Address - Fax:516-706-4700
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-26
Last Update Date:2014-04-01
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Provider Licenses
StateLicense IDTaxonomies
NY249773207RC0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine