Individual provider · Type 1 NPI

Melissa Black, AGACNP-BC

Acute Care Nurse Practitioner · New Hyde Park, NY

NPI number 1831068782 Active

Practice location

450 Lakeville Rd
New Hyde Park, NY 11042-1118

Specialties and licenses

TaxonomyCodeLicense
Acute Care Nurse Practitioner Primary 363LA2100XF433417-01 (NY)

Acute Care Nurse Practitioner: Definition to come...

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About NPI 1831068782

Melissa Black, AGACNP-BC's National Provider Identifier is 1831068782, issued on Oct 30, 2025. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in New Hyde Park, NY. The record was last updated on Oct 30, 2025.