Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LP0808X | Nurse Practitioner - Psychiatric/Mental Health | 402974 | NY |
NPI | 1003425729 |
---|---|
Provider Name | Melissa Byers |
First Address | New York, NY 10009-1403 |
Second Address | New York, NY 10009-1403 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/07/2020 |
Last Update Date | 02/08/2020 |