Provider Demographics
NPI:1508847302
Name:MELENDEZ, MARGARET N (NP)
Entity Type:Individual
Prefix:MS
First Name:MARGARET
Middle Name:N
Last Name:MELENDEZ
Suffix:
Gender:F
Credentials:NP
Other - Prefix:MS
Other - First Name:MARGARET
Other - Middle Name:N
Other - Last Name:MELENDEZ
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:NP
Mailing Address - Street 1:STONY BROOK UNIVERSITY MEDICAL CENTER
Mailing Address - Street 2:DEPARTMENT OF MEDICINE L16
Mailing Address - City:STONY BROOK
Mailing Address - State:NY
Mailing Address - Zip Code:11794
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:STONY BROOK UNIVERSITY MEDICAL CTR
Practice Address - Street 2:DEPARTMENT OF MEDICINE L16
Practice Address - City:STONY BROOK
Practice Address - State:NY
Practice Address - Zip Code:11794-0001
Practice Address - Country:US
Practice Address - Phone:631-444-2552
Practice Address - Fax:631-444-2552
Is Sole Proprietor?:No
Enumeration Date:2005-11-09
Last Update Date:2009-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF301482363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner