Provider Demographics
NPI:1649535931
Name:FINCH, MELISSA ANNA (BS ED)
Entity type:Individual
Prefix:MS
First Name:MELISSA
Middle Name:ANNA
Last Name:FINCH
Suffix:
Gender:F
Credentials:BS ED
Other - Prefix:MS
Other - First Name:MELISSA
Other - Middle Name:ANNA
Other - Last Name:FINCH
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:BS ED
Mailing Address - Street 1:260 N LITTLE TOR RD
Mailing Address - Street 2:
Mailing Address - City:NEW CITY
Mailing Address - State:NY
Mailing Address - Zip Code:10956-2627
Mailing Address - Country:US
Mailing Address - Phone:845-708-2000
Mailing Address - Fax:845-639-3529
Practice Address - Street 1:260 N LITTLE TOR RD
Practice Address - Street 2:
Practice Address - City:NEW CITY
Practice Address - State:NY
Practice Address - Zip Code:10956-2627
Practice Address - Country:US
Practice Address - Phone:845-708-2000
Practice Address - Fax:845-639-3529
Is Sole Proprietor?:No
Enumeration Date:2012-07-12
Last Update Date:2012-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY434061101174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist