Provider Demographics
NPI:1053015032
Name:CUEVAS, MELISSA (NP)
Entity type:Individual
Prefix:MS
First Name:MELISSA
Middle Name:
Last Name:CUEVAS
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:701 RIDGE HILL BLVD UNIT 9M
Mailing Address - Street 2:
Mailing Address - City:YONKERS
Mailing Address - State:NY
Mailing Address - Zip Code:10710-7725
Mailing Address - Country:US
Mailing Address - Phone:914-826-1234
Mailing Address - Fax:
Practice Address - Street 1:701 RIDGE HILL BLVD UNIT 9M
Practice Address - Street 2:
Practice Address - City:YONKERS
Practice Address - State:NY
Practice Address - Zip Code:10710-7725
Practice Address - Country:US
Practice Address - Phone:914-826-1234
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-03-27
Last Update Date:2023-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY351570363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily