Melissa San Pedro
Case Manager/Care Coordinator in Forest Hills, NY. Individual provider (NPI-1).
NPI number1164066049
StatusActive
Last updated in NPPESFeb 28, 2025
Details
- NPI
- 1164066049
- Entity type
- Individual (NPI-1)
- Name
- Melissa San Pedro
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Nov 4, 2019
- Certification date
- Feb 28, 2025
- Last updated
- Feb 28, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 171M00000X | Case Manager/Care Coordinator | – | – | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
10818 Queens BlvdForest Hills, NY 11375-4748
Phone 212-804-7659
Mailing address
10818 Queens BlvdForest Hills, NY 11375-4748
Phone 212-804-7659
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All 106 Case Manager/Care Coordinator providers in Forest Hills · All 4,796 providers in Forest Hills
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