National Provider Identifier
Melissa Gillenwater
Melissa Gillenwater is listed in the NPPES registry with a primary specialty of Peer Specialist in Springville, NY and a listed phone number of (716) 592-9301.
Profile Overview
- NPI
- 1265128219
- Provider Type
- Individual
- Primary Specialty
- Peer Specialist
- Enumeration Date
- April 13, 2023
- Last Updated
- July 14, 2023
Practice Location
- 27 Franklin St
- Springville, NY 14141-1375
Phone: (716) 592-9301
Mailing Address
- 227 Thorn Ave
- Orchard Park, NY 14127-2600
Specialties
- Peer Specialist (175T00000X)
- Peer Specialist (175T00000X)
Full Record
- NPI
- 1265128219
- Entity Type
- Individual
- Last Name
- Gillenwater
- First Name
- Melissa
- Mailing Street Address
- 227 Thorn Ave
- Mailing City
- Orchard Park
- Mailing State
- NY
- Mailing ZIP Code
- 14127-2600
- Mailing Country
- US
- Mailing Phone
- (716) 662-2040
- Mailing Fax
- (716) 662-0019
- Practice Street Address
- 27 Franklin St
- Practice City
- Springville
- Practice State
- NY
- Practice ZIP Code
- 14141-1375
- Practice Country
- US
- Practice Phone
- (716) 592-9301
- Practice Fax
- (716) 592-9376
- Enumeration Date
- April 13, 2023
- Last Updated
- July 14, 2023
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- July 14, 2023
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Peer Specialist (175T00000X), Peer Specialist (175T00000X)