National Provider Identifier
Melissa Marie Sandusky
Melissa Marie Sandusky is listed in the NPPES registry with a primary specialty of Specialist in Lockport, NY and a listed phone number of (716) 280-8804.
Profile Overview
- NPI
- 1407629140
- Provider Type
- Individual
- Primary Specialty
- Specialist
- Enumeration Date
- November 03, 2023
- Last Updated
- November 03, 2023
Practice Location
- 85 N Adam St
- Lockport, NY 14094-2442
Phone: (716) 280-8804
Specialties
- Specialist (174400000X)
Full Record
- NPI
- 1407629140
- Entity Type
- Individual
- Last Name
- Sandusky
- First Name
- Melissa
- Middle Name
- Marie
- Mailing Street Address
- 85 N Adam St
- Mailing City
- Lockport
- Mailing State
- NY
- Mailing ZIP Code
- 14094-2442
- Mailing Country
- US
- Practice Street Address
- 85 N Adam St
- Practice City
- Lockport
- Practice State
- NY
- Practice ZIP Code
- 14094-2442
- Practice Country
- US
- Practice Phone
- (716) 280-8804
- Enumeration Date
- November 03, 2023
- Last Updated
- November 03, 2023
- Sex
- Female
- Sole Proprietor
- Yes
- Certification Date
- November 03, 2023
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Specialist (174400000X)