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MS. MELROSE VICKS LPN
NPI 1659669356
Licensed Practical Nurse in Massapequa Park, NY

Active since July 14, 2011
125 FRONT ST, SUITE 3, MASSAPEQUA PARK, NY 11762(516) 557-2142(516) 557-2109 Get Directions Write a Review

NPPES record last updated: July 14, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ms. Melrose Vicks Lpn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. MELROSE VICKS LPN (NPI 1659669356) is an individual licensed practical nurse in Massapequa Park, New York, licensed in New York (304652) and active in the NPI registry since July 2011.

NPPES Registry Identity

NPI1659669356
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameMS. MELROSE VICKSCredential: LPN
Location Address125 FRONT ST, SUITE 3Massapequa Park, NY 11762-2761
Mailing Address125 Front St, Suite 3Massapequa Park, NY 11762-2761 · (516) 557-2142 · Fax (516) 557-2109
Phone(516) 557-2142
Fax(516) 557-2109
Sole ProprietorYes
Enumeration DateJuly 14, 2011
✔ NPI 1659669356 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License✔ Licensed in NY · 304652
Definition
A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
125 FRONT ST, Massapequa Park, NY 11762
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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TRACY WALSH RN
Registered Nurse
125 FRONT ST, SUITE 3
MASSAPEQUA PARK, NY 11762
Nassau County (516) 557-2142

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Melrose Vicks's NPI number?

The NPI number for Melrose Vicks is 1659669356. It was assigned to this individual provider in the NPPES registry on July 14, 2011.

Where is Melrose Vicks located?

Melrose Vicks practices at 125 Front St Suite 3, Massapequa Park, NY 11762. The listed phone number is (516) 557-2142.

What is Melrose Vicks's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Melrose Vicks was last updated on July 14, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.