Provider Demographics
NPI:1326828260
Name:BUDHOO, MELISSA MEENA KUMARI (NP)
Entity Type:Individual
Prefix:MS
First Name:MELISSA
Middle Name:MEENA KUMARI
Last Name:BUDHOO
Suffix:
Gender:F
Credentials:NP
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Mailing Address - Street 1:10903 LEFFERTS BLVD
Mailing Address - Street 2:
Mailing Address - City:SOUTH OZONE PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11420-1342
Mailing Address - Country:US
Mailing Address - Phone:718-313-7444
Mailing Address - Fax:
Practice Address - Street 1:130 E 77TH ST FL 4
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10075-1851
Practice Address - Country:US
Practice Address - Phone:212-434-3000
Practice Address - Fax:212-434-6404
Is Sole Proprietor?:Yes
Enumeration Date:2023-09-28
Last Update Date:2023-09-28
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NYF351196-01363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily