| Doctor Name: | MELISSA MARTYN |
| NPI Number: | 1003290362 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | R.N |
| License Number: | 637452 |
| Business Practice Address: | 20 S Broadway Mha 11th Floor Yonkers, NY - 107013713 |
| Business Phone Number: | 9175874342 |
| Business Fax Number: | |
| Mailing Address: | 20 S Broadway, Mha 11th Floor YONKERS |
| State: | NY |
| Postal Code: | 107013713 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 07/16/2015 |
| NPI Last Update Date: | 07/16/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WP0808X |
| License Number: | 637452 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Psych/Mental Health |
| Taxonomy Definition: | |