Provider Demographics
NPI:1497548168
Name:OSHEA, MELANIE JEAN
Entity type:Individual
Prefix:
First Name:MELANIE
Middle Name:JEAN
Last Name:OSHEA
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 1:7 STUYVESANT OVAL APT 2D
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10009-1902
Mailing Address - Country:US
Mailing Address - Phone:845-240-5402
Mailing Address - Fax:
Practice Address - Street 1:253 1ST AVE
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10003-2923
Practice Address - Country:US
Practice Address - Phone:212-254-1454
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-27
Last Update Date:2025-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY072491183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist