Melissa Dale Vilaca, NP
Nurse Practitioner, Family in Little Neck, NY. Individual provider (NPI-1).
NPI number1164040143
StatusActive
Last updated in NPPESSep 20, 2022
Details
- NPI
- 1164040143
- Entity type
- Individual (NPI-1)
- Name
- Melissa Dale Vilaca
- Credential
- NP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 7, 2020
- Certification date
- Sep 20, 2022
- Last updated
- Sep 20, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | F346036 | NY | Yes |
Practice location
254-61 Nassau BlvdLittle Neck, NY 11362
Phone 917-563-1660
Mailing address
254-61 Nassau BlvdLittle Neck, NY 11362
Phone 917-563-1660
Other practice locations
200 Old Country Rd
Mineola, NY 11501-4235
Mineola, NY 11501-4235
Phone 516-663-2169
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All 13 Family Nurse Practitioner providers in Little Neck · All 421 providers in Little Neck
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