Most Relevant Information
Provider Data
| NPI Number: | 1003463803 |
| Provider Name: | ALYSSA DANIELLE MELVIN FNP-BC |
| Entity Type: | Individual |
| Taxonomy Code: | 363LF0000X |
| Specialty: | Nurse Practitioner |
| License Number: | F344700 |
Most Important Dates
| Enumeration Date: | 08/26/2019 |
| Last Updated: | 12/27/2021 |
Provider Practice Location
68 HARRIS BUSHVILLE RD
HARRIS
NY
12742
Practice Location Phone/Fax
| Phone: | 8453338909 |
| Fax: | 8457914136 |
Provider Mailing Location
707 E MAIN ST
MIDDLETOWN
NY
109402650
Provider Mailing Phone/Fax
| Phone: | 8453337575 |
| Fax: | 8453337202 |