Provider Demographics
NPI:1093217432
Name:PARAISON, MELISSA (RDMS, RCDS, MPH)
Entity Type:Individual
Prefix:
First Name:MELISSA
Middle Name:
Last Name:PARAISON
Suffix:
Gender:F
Credentials:RDMS, RCDS, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17321 65TH AVE
Mailing Address - Street 2:
Mailing Address - City:FRESH MEADOWS
Mailing Address - State:NY
Mailing Address - Zip Code:11365-2016
Mailing Address - Country:US
Mailing Address - Phone:347-302-2321
Mailing Address - Fax:
Practice Address - Street 1:17811 UNION TPKE
Practice Address - Street 2:
Practice Address - City:FRESH MEADOWS
Practice Address - State:NY
Practice Address - Zip Code:11366-1633
Practice Address - Country:US
Practice Address - Phone:718-480-1233
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-03-01
Last Update Date:2018-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2471S1302XTechnologists, Technicians & Other Technical Service ProvidersRadiologic TechnologistSonography