Provider Demographics
NPI:1790477305
Name:MAGNANI, MELINDA A
Entity Type:Individual
Prefix:
First Name:MELINDA
Middle Name:A
Last Name:MAGNANI
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 1:125 PARKWAY RD APT 1304
Mailing Address - Street 2:
Mailing Address - City:BRONXVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:10708-3694
Mailing Address - Country:US
Mailing Address - Phone:914-912-2221
Mailing Address - Fax:
Practice Address - Street 1:125 PARKWAY RD APT 1304
Practice Address - Street 2:
Practice Address - City:BRONXVILLE
Practice Address - State:NY
Practice Address - Zip Code:10708-3694
Practice Address - Country:US
Practice Address - Phone:914-912-2221
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-05-23
Last Update Date:2023-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health