National Provider Identifier
Melissa Podkulski
Melissa Podkulski is listed in the NPPES registry with a primary specialty of Physician Assistant in Rochester, NY and a listed phone number of (585) 922-4518.
Source: public NPPES record, last updated December 12, 2019. This profile is informational and is not medical advice, a quality rating, or a provider recommendation.
Profile Overview
- NPI
- 1184109084
- Provider Type
- Individual
- Primary Specialty
- Physician Assistant
- Enumeration Date
- September 27, 2018
- Last Updated
- December 12, 2019
Practice Location
- 1415 Portland Ave
- Rochester, NY 14621-3038
Phone: (585) 922-4518
Mailing Address
- 9 Old Plank RD
- Ste 100
- Clifton Park, NY 12065-3107
Specialties
- Physician Assistant (363A00000X)
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Full Record
- NPI
- 1184109084
- Entity Type
- Individual
- Last Name
- Podkulski
- First Name
- Melissa
- Mailing Street Address
- 9 Old Plank RD
- Mailing Address Line 2
- Ste 100
- Mailing City
- Clifton Park
- Mailing State
- NY
- Mailing ZIP Code
- 12065-3107
- Mailing Country
- US
- Mailing Phone
- (518) 371-0777
- Practice Street Address
- 1415 Portland Ave
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14621-3038
- Practice Country
- US
- Practice Phone
- (585) 922-4518
- Enumeration Date
- September 27, 2018
- Last Updated
- December 12, 2019
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- December 12, 2019
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Physician Assistant (363A00000X)