Individual provider · Type 1 NPI

Melissa R. Dezan, MS, FNP-BC

Family Nurse Practitioner · Queens Village, NY

NPI number 1346609773 Active

Practice location

7925 Winchester Blvd
Queens Village, NY 11427-2128

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner 363LP0808X407997 (NY)
Licensed Practical Nurse 164W00000X3209241 (NY)
Registered Nurse 163W00000X726454 (NY)
Family Nurse Practitioner Primary 363LF0000X350891 (NY)

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About NPI 1346609773

Melissa R. Dezan, MS, FNP-BC's National Provider Identifier is 1346609773, issued on Feb 13, 2016. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Queens Village, NY. The record was last updated on Apr 2, 2026.