Provider Demographics
NPI:1134675283
Name:KRESSEL, MELANIE
Entity Type:Individual
Prefix:
First Name:MELANIE
Middle Name:
Last Name:KRESSEL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7 E 14TH ST
Mailing Address - Street 2:410
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10003-3115
Mailing Address - Country:US
Mailing Address - Phone:917-691-8794
Mailing Address - Fax:
Practice Address - Street 1:7 E 14TH ST
Practice Address - Street 2:410
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10003-3115
Practice Address - Country:US
Practice Address - Phone:917-691-8794
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-08-29
Last Update Date:2016-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program