Provider Demographics
NPI:1598639163
Name:TROY, MELANIE ANNE (FNP-BC)
Entity type:Individual
Prefix:MRS
First Name:MELANIE
Middle Name:ANNE
Last Name:TROY
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:286 S MAIN ST
Mailing Address - Street 2:
Mailing Address - City:NEW CITY
Mailing Address - State:NY
Mailing Address - Zip Code:10956-3327
Mailing Address - Country:US
Mailing Address - Phone:914-236-4121
Mailing Address - Fax:914-709-4858
Practice Address - Street 1:22 VAN DUZER PL
Practice Address - Street 2:
Practice Address - City:WARWICK
Practice Address - State:NY
Practice Address - Zip Code:10990-1014
Practice Address - Country:US
Practice Address - Phone:914-236-4121
Practice Address - Fax:914-709-4858
Is Sole Proprietor?:No
Enumeration Date:2025-10-06
Last Update Date:2025-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF357724363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily