Doctor Name: | MS. MELISSA MARIE SARAVIA |
NPI Number: | 1184864688 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RPA-C |
License Number: | 012368 |
Business Practice Address: | 13355 Lefferts Blvd South Ozone Park, NY - 114203131 |
Business Phone Number: | 7186595344 |
Business Fax Number: | 7186590838 |
Mailing Address: | 8900 Van Wyck Expy, JAMAICA |
State: | NY |
Postal Code: | 114182832 |
Phone Number: | 7182066058 |
Fax Number: | |
NPI Enumeration Date: | 02/24/2009 |
NPI Last Update Date: | 03/20/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AM0700X |
License Number: | 012368 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Medical |
Taxonomy Definition: |