Provider Demographics
NPI:1023115466
Name:MORELLI, MELISSA A (FNP-C)
Entity type:Individual
Prefix:MRS
First Name:MELISSA
Middle Name:A
Last Name:MORELLI
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:MELISSA
Other - Middle Name:A
Other - Last Name:HOLOWECKI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:100 PORT WASHINGTON BLVD
Mailing Address - Street 2:ST. FRANCIS HOSPITAL EMERGENCY ROOM
Mailing Address - City:ROSLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11576-1347
Mailing Address - Country:US
Mailing Address - Phone:516-562-6600
Mailing Address - Fax:516-562-6807
Practice Address - Street 1:100 PORT WASHINGTON BLVD
Practice Address - Street 2:ST. FRANCIS HOSPITAL EMERGENCY ROOM
Practice Address - City:ROSLYN
Practice Address - State:NY
Practice Address - Zip Code:11576-1347
Practice Address - Country:US
Practice Address - Phone:516-562-6600
Practice Address - Fax:516-562-6807
Is Sole Proprietor?:No
Enumeration Date:2006-09-20
Last Update Date:2016-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF334703-1363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily