National Provider Identifier
Mario Melidona, P.T.
Mario Melidona, P.T. is listed in the NPPES registry with a primary specialty of Specialist in Geneseo, NY and a listed phone number of (585) 243-9150.
Profile Overview
- NPI
- 1144229451
- Provider Type
- Individual
- Primary Specialty
- Specialist
- Enumeration Date
- July 19, 2005
- Last Updated
- July 08, 2007
Practice Location
- 4188 Lakeville RD
- Geneseo, NY 14454-1134
Phone: (585) 243-9150
Specialties
- Specialist (174400000X)
Full Record
- NPI
- 1144229451
- Entity Type
- Individual
- Last Name
- Melidona
- First Name
- Mario
- Credential
- P.T.
- Mailing Street Address
- 4188 Lakeville RD
- Mailing City
- Geneseo
- Mailing State
- NY
- Mailing ZIP Code
- 14454-1134
- Mailing Country
- US
- Mailing Phone
- (585) 243-9150
- Mailing Fax
- (585) 243-4814
- Practice Street Address
- 4188 Lakeville RD
- Practice City
- Geneseo
- Practice State
- NY
- Practice ZIP Code
- 14454-1134
- Practice Country
- US
- Practice Phone
- (585) 243-9150
- Practice Fax
- (585) 243-4814
- Enumeration Date
- July 19, 2005
- Last Updated
- July 08, 2007
- Deactivation Date
- March 20, 2006
- Reactivation Date
- April 05, 2006
- Sex
- Male
- Sole Proprietor
- X
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Specialist (174400000X)