Provider Demographics
NPI:1144604091
Name:RAMROOP, MELISSA (MS, WHNP)
Entity Type:Individual
Prefix:MS
First Name:MELISSA
Middle Name:
Last Name:RAMROOP
Suffix:
Gender:F
Credentials:MS, WHNP
Other - Prefix:MRS
Other - First Name:MELISSA
Other - Middle Name:
Other - Last Name:CARDENALES
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MS, RN, WHNP
Mailing Address - Street 1:462 1ST AVE
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10016-9196
Mailing Address - Country:US
Mailing Address - Phone:212-562-5755
Mailing Address - Fax:
Practice Address - Street 1:462 1ST AVE
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10016-9196
Practice Address - Country:US
Practice Address - Phone:212-562-5755
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-07-09
Last Update Date:2015-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY421214363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health