Individual provider · Type 1 NPI

Melissa Ferguson, PAC

Medical Physician Assistant · Mount Kisco, NY

NPI number 1174756977 Active

Practice location

400 East Main Street, Emergency Department
Mount Kisco, NY 10549

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000X2297 (CT)
Physician Assistant 363A00000X23 013454 (NY)
Medical Physician Assistant Primary 363AM0700XNone listed

Medical Physician Assistant: Definition to come...

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About NPI 1174756977

Melissa Ferguson, PAC's National Provider Identifier is 1174756977, issued on Aug 26, 2009. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Mount Kisco, NY. The record was last updated on Nov 25, 2014.