Provider Demographics
NPI:1023189552
Name:HECHE, MELISSA E (AUD, SLP)
Entity Type:Individual
Prefix:
First Name:MELISSA
Middle Name:E
Last Name:HECHE
Suffix:
Gender:F
Credentials:AUD, SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:271 MADISON AVE
Mailing Address - Street 2:STE 1405
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10016-1001
Mailing Address - Country:US
Mailing Address - Phone:212-260-1414
Mailing Address - Fax:212-260-7676
Practice Address - Street 1:271 MADISON AVE
Practice Address - Street 2:STE 1405
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10016-1001
Practice Address - Country:US
Practice Address - Phone:212-260-1414
Practice Address - Fax:212-260-7676
Is Sole Proprietor?:No
Enumeration Date:2006-11-13
Last Update Date:2010-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY001859-1231H00000X
NY012413-1235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
No235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY4899678OtherGHI PPO PROVIDER NUMBER
NYP3182457OtherOXFORD PROVIDER NUMBER
NY000000092299OtherGHI HMO PROVIDER NUMBER
NYM73791Medicare ID - Type Unspecified
NYQ16938Medicare UPIN