Provider Demographics
NPI:1154814374
Name:DURKEE, MELISSA CLAIRE
Entity Type:Individual
Prefix:MS
First Name:MELISSA
Middle Name:CLAIRE
Last Name:DURKEE
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 1:419 E 86TH ST
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10028-6402
Mailing Address - Country:US
Mailing Address - Phone:212-845-3844
Mailing Address - Fax:
Practice Address - Street 1:419 E 86TH ST
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10028-6402
Practice Address - Country:US
Practice Address - Phone:212-845-3844
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-06-12
Last Update Date:2018-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
174400000X
NY174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist