National Provider Identifier

Melitta Mendonca, PA-C

Melitta Mendonca, PA-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) 923-4380.

NPI 1639528458Amherst, NYMedical Physician Assistant

Profile Overview

NPI
1639528458
Provider Type
Individual
Primary Specialty
Medical Physician Assistant
Enumeration Date
June 13, 2016
Last Updated
April 04, 2017

Practice Location

  • 4979 Harlem RD
  • Amherst, NY 14226-2547

Phone: (716) 923-4380

Specialties

  • Medical Physician Assistant (363AM0700X)
Full Record
NPI
1639528458
Entity Type
Individual
Last Name
Mendonca
First Name
Melitta
Credential
PA-C
Mailing Street Address
4979 Harlem RD
Mailing City
Amherst
Mailing State
NY
Mailing ZIP Code
14226-2547
Mailing Country
US
Mailing Phone
(716) 923-4380
Mailing Fax
(716) 923-4384
Practice Street Address
4979 Harlem RD
Practice City
Amherst
Practice State
NY
Practice ZIP Code
14226-2547
Practice Country
US
Practice Phone
(716) 923-4380
Practice Fax
(716) 923-4384
Enumeration Date
June 13, 2016
Last Updated
April 04, 2017
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Medical Physician Assistant (363AM0700X)
Other Identifiers
04542114 (NY)