Provider Demographics
NPI:1053616516
Name:MELISSA A. HUGHES, INC.
Entity type:Organization
Organization Name:MELISSA A. HUGHES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:MELISSA
Authorized Official - Middle Name:A
Authorized Official - Last Name:HUGHES
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:516-353-0991
Mailing Address - Street 1:1035 OYSTER BAY RD
Mailing Address - Street 2:
Mailing Address - City:EAST NORWICH
Mailing Address - State:NY
Mailing Address - Zip Code:11732-1049
Mailing Address - Country:US
Mailing Address - Phone:516-353-0991
Mailing Address - Fax:516-292-0327
Practice Address - Street 1:1035 OYSTER BAY RD
Practice Address - Street 2:
Practice Address - City:EAST NORWICH
Practice Address - State:NY
Practice Address - Zip Code:11732-1049
Practice Address - Country:US
Practice Address - Phone:516-353-0991
Practice Address - Fax:516-292-0327
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-01-13
Last Update Date:2011-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY015574302F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes302F00000XManaged Care OrganizationsExclusive Provider Organization