Melissa Maston
Individual provider Active NPI Licensed Practical Nurse · Chaffee, NY
NPI 1851675151 · NPPES record last updated Oct 5, 2011
Key facts
- NPI
- 1851675151
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Practical Nurse 164W00000X
- License
- 305708-1 (NY)
- Practice address
- 12108 Savage Rd
Chaffee, NY 14030-9606 - Phone
- (716) 496-5022
- NPI assigned
- Oct 5, 2011
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 305708-1 | NY | MD | Licensed Practical Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 305708-1 | NY | Yes |
Addresses
Primary practice location
12108 Savage Rd
Chaffee, NY 14030-9606
Mailing address
12108 Savage Rd
Chaffee, NY 14030-9606
Phone (716) 496-5022
Other providers in Chaffee, NY
- Sarah Best
- Joy A Czesak-Pezzino
- Robbert Edelman
- Christina Kelly
- Christina M Levy
- Melissa Rhodus
- Charlene Rule
All providers in Chaffee, NY · Licensed Practical Nurse in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 5, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.