Provider Demographics
NPI:1770965691
Name:DUNDAS, MELISSA ALEXIS (MD)
Entity type:Individual
Prefix:DR
First Name:MELISSA
Middle Name:ALEXIS
Last Name:DUNDAS
Suffix:
Gender:F
Credentials:MD
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Other - First Name:
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Mailing Address - Street 1:150 E 32ND ST FL 2
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10016-6058
Mailing Address - Country:US
Mailing Address - Phone:212-263-5940
Mailing Address - Fax:212-263-5808
Practice Address - Street 1:150 E 32ND ST FL 2
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10016-6058
Practice Address - Country:US
Practice Address - Phone:212-263-5940
Practice Address - Fax:212-263-5808
Is Sole Proprietor?:Yes
Enumeration Date:2015-06-27
Last Update Date:2021-10-06
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY2961312080A0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080A0000XAllopathic & Osteopathic PhysiciansPediatricsAdolescent Medicine