Provider Demographics
NPI:1437616240
Name:ABBENSETTS, ROMANE MELISSA (PMHNP)
Entity Type:Individual
Prefix:
First Name:ROMANE
Middle Name:MELISSA
Last Name:ABBENSETTS
Suffix:
Gender:F
Credentials:PMHNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 ROSE CT
Mailing Address - Street 2:
Mailing Address - City:COMMACK
Mailing Address - State:NY
Mailing Address - Zip Code:11725-3712
Mailing Address - Country:US
Mailing Address - Phone:516-707-3125
Mailing Address - Fax:
Practice Address - Street 1:1 ROSE CT
Practice Address - Street 2:
Practice Address - City:COMMACK
Practice Address - State:NY
Practice Address - Zip Code:11725-3712
Practice Address - Country:US
Practice Address - Phone:516-707-1325
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-02-28
Last Update Date:2022-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY603158163WC1500X
NY402652363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No163WC1500XNursing Service ProvidersRegistered NurseCommunity Health