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Melissha Bridgette Perez

Physician Assistant in South Richmond Hill, NY. Individual provider (NPI-1).

NPI number1306197553
StatusActive
Last updated in NPPESSep 27, 2012

Details

NPI
1306197553
Entity type
Individual (NPI-1)
Name
Melissha Bridgette Perez
Sex
Female
Sole proprietor
No
Enumeration date
Sep 27, 2012
Last updated
Sep 27, 2012

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363A00000X Physician Assistant015898NYYes

Practice location

9449 115th St
South Richmond Hill, NY 11419-1116

Phone 917-657-6587

Mailing address

9449 115th St
South Richmond Hill, NY 11419-1116

Phone 917-657-6587

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Physician Assistant providers in South Richmond Hill, NY

All 11 Physician Assistant providers in South Richmond Hill · All 473 providers in South Richmond Hill

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