Provider Demographics
NPI:1982893541
Name:MONASTERIO, MELISSA S (PT)
Entity Type:Individual
Prefix:
First Name:MELISSA
Middle Name:S
Last Name:MONASTERIO
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:57 W 57TH ST
Mailing Address - Street 2:SUITE 1406
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10019-2802
Mailing Address - Country:US
Mailing Address - Phone:212-399-3800
Mailing Address - Fax:212-399-3822
Practice Address - Street 1:57 W 57TH ST
Practice Address - Street 2:SUITE 1406
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10019-2802
Practice Address - Country:US
Practice Address - Phone:212-399-3800
Practice Address - Fax:212-399-3822
Is Sole Proprietor?:No
Enumeration Date:2007-10-19
Last Update Date:2016-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYP60989174400000X
NY031405225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
No174400000XOther Service ProvidersSpecialist