Provider Demographics
NPI:1316024839
Name:CUSHING, MELISSA M (MD)
Entity Type:Individual
Prefix:DR
First Name:MELISSA
Middle Name:M
Last Name:CUSHING
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:PO BOX 29409
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10087-9409
Mailing Address - Country:US
Mailing Address - Phone:646-253-2808
Mailing Address - Fax:212-746-3856
Practice Address - Street 1:525 E 68TH ST
Practice Address - Street 2:BOX 69
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10021-4870
Practice Address - Country:US
Practice Address - Phone:646-253-2808
Practice Address - Fax:212-746-3856
Is Sole Proprietor?:No
Enumeration Date:2006-11-01
Last Update Date:2023-11-02
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY240927207ZP0105X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0105XAllopathic & Osteopathic PhysiciansPathologyClinical Pathology/Laboratory Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY240927OtherNYS LICENSE