Individual provider · Type 1 NPI

Melanie Douglas, PA-C

Surgical Physician Assistant · Staten Island, NY

NPI number 1376896142 Active

Practice location

355 Bard Ave
Staten Island, NY 10310-1664

Call (718) 818-1234 Map

Fax (718) 818-1252

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400X015826-1 (NY)

Surgical Physician Assistant: Definition to come...

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About NPI 1376896142

Melanie Douglas, PA-C's National Provider Identifier is 1376896142, issued on Oct 18, 2012. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Staten Island, NY. The record was last updated on Oct 18, 2012.