National Provider Identifier
Melissa Jane Desouza, RPA-C
Melissa Jane Desouza, RPA-C is listed in the NPPES registry with a primary specialty of Medical Physician Assistant in Amherst, NY and a listed phone number of (716) 929-2800.
Profile Overview
- NPI
- 1376831594
- Provider Type
- Individual
- Primary Specialty
- Medical Physician Assistant
- Enumeration Date
- July 21, 2011
- Last Updated
- January 23, 2017
Practice Location
- 3980 Sheridan Dr
- Amherst, NY 14226-1727
Phone: (716) 929-2800
Mailing Address
- 199 Park Club Ln
- Suite 300
- Williamsville, NY 14221-5269
Specialties
- Medical Physician Assistant (363AM0700X)
Full Record
- NPI
- 1376831594
- Entity Type
- Individual
- Last Name
- Desouza
- First Name
- Melissa
- Middle Name
- Jane
- Credential
- RPA-C
- Provider Other Last Name
- Puchalski
- Provider Other First Name
- Melissa
- Provider Other Middle Name
- Jane
- Provider Other Credential Text
- RPA-C
- Provider Other Last Name Type Code
- 1
- Mailing Street Address
- 199 Park Club Ln
- Mailing Address Line 2
- Suite 300
- Mailing City
- Williamsville
- Mailing State
- NY
- Mailing ZIP Code
- 14221-5269
- Mailing Country
- US
- Mailing Phone
- (716) 836-4646
- Mailing Fax
- (716) 836-4696
- Practice Street Address
- 3980 Sheridan Dr
- Practice City
- Amherst
- Practice State
- NY
- Practice ZIP Code
- 14226-1727
- Practice Country
- US
- Practice Phone
- (716) 929-2800
- Practice Fax
- (716) 929-2819
- Enumeration Date
- July 21, 2011
- Last Updated
- January 23, 2017
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Medical Physician Assistant (363AM0700X)