Azaula, Melissa Anne
Azaula, Melissa Anne is an individual health care provider with primary practice located at 1001 Main St Fl 4 , Buffalo NY 14203-1009. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Developmental – Behavioral Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Rehabilitation Medicine. Allopathic & Osteopathic Physicians / Pediatric Rehabilitation Medicine is her primary health care specialty. Azaula, Melissa Anne can be contacted via phone (716) 323-0034.Contact Information
Primary practice address
1001 Main St Fl 4
Buffalo NY 14203-1009
Phone: (716) 323-0034
Fax: (716) 323-0292
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Developmental – Behavioral Pediatrics | 2080P0006X | 194829 | New York |
| Allopathic & Osteopathic Physicians / Pediatric Rehabilitation Medicine | 2081P0010X | 194829 | New York |
Profile Details
| NPI number | 1043276603 |
|---|---|
| LBN Legal business name | Azaula, Melissa Anne |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 24th, 2006 |
| Last updated | Oct 7th, 2022 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1043276603 | NPPES |
| New York | MEDICAID | 01654044 | |
| New York | Other | 040426000781 | |
| New York | MEDICAID | 0018526310001 | |
| New York | Other | 3008167 | |
| New York | Other | 000524267006 |
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