Provider Demographics
NPI:1376434175
Name:MELY, TAYESHA
Entity type:Individual
Prefix:
First Name:TAYESHA
Middle Name:
Last Name:MELY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1399 ULSTER AVE # 1015
Mailing Address - Street 2:
Mailing Address - City:KINGSTON
Mailing Address - State:NY
Mailing Address - Zip Code:12401-1514
Mailing Address - Country:US
Mailing Address - Phone:347-886-1212
Mailing Address - Fax:
Practice Address - Street 1:1399 ULSTER AVE # 1015
Practice Address - Street 2:
Practice Address - City:KINGSTON
Practice Address - State:NY
Practice Address - Zip Code:12401-1514
Practice Address - Country:US
Practice Address - Phone:347-886-1212
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-10
Last Update Date:2025-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula