Provider Demographics
NPI:1285423228
Name:KLEIN, MELISSA (PARAMEDIC)
Entity type:Individual
Prefix:
First Name:MELISSA
Middle Name:
Last Name:KLEIN
Suffix:
Gender:
Credentials:PARAMEDIC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:82 MANILA AVE
Mailing Address - Street 2:
Mailing Address - City:STATEN ISLAND
Mailing Address - State:NY
Mailing Address - Zip Code:10306-5606
Mailing Address - Country:US
Mailing Address - Phone:646-247-8883
Mailing Address - Fax:
Practice Address - Street 1:82 MANILA AVE
Practice Address - Street 2:
Practice Address - City:STATEN ISLAND
Practice Address - State:NY
Practice Address - Zip Code:10306-5606
Practice Address - Country:US
Practice Address - Phone:646-247-8883
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-05
Last Update Date:2025-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY417743146L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes146L00000XEmergency Medical Service ProvidersEmergency Medical Technician, Paramedic