Mendonca, Melitta

Mendonca, Melitta is an individual health care provider with primary practice located at 4979 Harlem Rd , Amherst NY 14226-2547. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Mendonca, Melitta can be contacted via phone (716) 923-4380.

Contact Information

Primary practice address
4979 Harlem Rd Amherst NY 14226-2547
Phone: (716) 923-4380
Fax: (716) 923-4384
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X New York

Profile Details

NPI number 1639528458
LBN Legal business name Mendonca, Melitta
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 13th, 2016
Last updated Apr 4th, 2017 - about 9 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1639528458 NPPES
New York MEDICAID 04542114

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