Melissa Szul

Individual provider Active NPI Pediatric Registered Nurse · Warners, NY

NPI 1104597756 · NPPES record last updated Sep 23, 2021

Key facts

NPI
1104597756
Entity type
Individual (NPI type 1)
Primary specialty
Pediatric Registered Nurse 163WP0200X
License
685690 (NY)
Practice address
129 Winners Way
Warners, NY 13164-9051
Phone
(315) 751-9207
NPI assigned
Sep 23, 2021
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
685690NYMDPediatric Registered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Registered Nurse 163WP0200X 685690 NY Yes

Addresses

Primary practice location

129 Winners Way
Warners, NY 13164-9051

Mailing address

129 Winners Way
Warners, NY 13164-9051

Other providers in Warners, NY

All providers in Warners, NY · Pediatric Registered Nurse in New York

Sources for this page

Verify at the official NPI Registry.