Provider Demographics
NPI:1912948290
Name:BECK, MELISSA B (RPA)
Entity Type:Individual
Prefix:
First Name:MELISSA
Middle Name:B
Last Name:BECK
Suffix:
Gender:F
Credentials:RPA
Other - Prefix:
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Mailing Address - Street 1:2 COATES DR
Mailing Address - Street 2:
Mailing Address - City:GOSHEN
Mailing Address - State:NY
Mailing Address - Zip Code:10924-6758
Mailing Address - Country:US
Mailing Address - Phone:845-651-1412
Mailing Address - Fax:845-651-1512
Practice Address - Street 1:1200 ROUTE 208
Practice Address - Street 2:SUITE 13
Practice Address - City:MONROE
Practice Address - State:NY
Practice Address - Zip Code:10950-4648
Practice Address - Country:US
Practice Address - Phone:845-783-6266
Practice Address - Fax:845-783-9570
Is Sole Proprietor?:No
Enumeration Date:2006-06-09
Last Update Date:2010-10-21
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY005877-1363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant