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Contact Information

MELISSA C CARMODY BAVASI, PA-C
1275 YORK AVE
NEW YORK, NY10065-6007
 Phone: 212-639-2024
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgical

363AS0400X 97 Physician Assistant
 

Otolaryngology/Facial Plastic Surgery

207YX0905X 04 Physician/Otolaryngology
Indicates primary specialty

NPI Profile & details for MELISSA C CARMODY BAVASI · (Female)

NPI Number 1346482429
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 04/03/2009
Last updated 10/21/2024 - More than a year ago
Sole proprietor 1 No
Identifiers
  • NY License # 010700
Hospital affiliation(s)
  • MEMORIAL HOSPITAL FOR CANCER AND ALLIED DISEASES - (Acute Care)
    1275 YORK AVENUE
    NEW YORK, NY 10021
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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