National Provider Identifier
Melissa Ann O'Banion
Melissa Ann O'Banion is listed in the NPPES registry with a primary specialty of Physician Assistant in Ithaca, NY and a listed phone number of (607) 257-5858.
Profile Overview
- NPI
- 1265071914
- Provider Type
- Individual
- Primary Specialty
- Physician Assistant
- Enumeration Date
- December 29, 2019
- Last Updated
- January 07, 2022
Practice Location
- 1780 Hanshaw RD
- Ithaca, NY 14850-9105
Phone: (607) 257-5858
Specialties
- Physician Assistant (363A00000X)
Full Record
- NPI
- 1265071914
- Entity Type
- Individual
- Last Name
- O'Banion
- First Name
- Melissa
- Middle Name
- Ann
- Mailing Street Address
- 1780 Hanshaw RD
- Mailing City
- Ithaca
- Mailing State
- NY
- Mailing ZIP Code
- 14850-9105
- Mailing Country
- US
- Mailing Phone
- (607) 257-5858
- Practice Street Address
- 1780 Hanshaw RD
- Practice City
- Ithaca
- Practice State
- NY
- Practice ZIP Code
- 14850-9105
- Practice Country
- US
- Practice Phone
- (607) 257-5858
- Enumeration Date
- December 29, 2019
- Last Updated
- January 07, 2022
- Sex
- Female
- Sole Proprietor
- Yes
- Certification Date
- January 07, 2022
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Physician Assistant (363A00000X)