National Provider Identifier

Melissa S Gillis

Melissa S Gillis is listed in the NPPES registry with a primary specialty of Peer Specialist in Rochester, NY and a listed phone number of (585) 355-0037.

NPI 1700644556Rochester, NYPeer Specialist

Profile Overview

NPI
1700644556
Provider Type
Individual
Primary Specialty
Peer Specialist
Enumeration Date
March 07, 2024
Last Updated
March 07, 2024

Practice Location

  • 1099 Jay St Bldg P
  • Rochester, NY 14611-1164

Phone: (585) 355-0037

Specialties

  • Peer Specialist (175T00000X)
Full Record
NPI
1700644556
Entity Type
Individual
Last Name
Gillis
First Name
Melissa
Middle Name
S
Mailing Street Address
1099 Jay St Bldg P
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14611-1164
Mailing Country
US
Mailing Phone
(585) 355-0037
Practice Street Address
1099 Jay St Bldg P
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14611-1164
Practice Country
US
Practice Phone
(585) 355-0037
Enumeration Date
March 07, 2024
Last Updated
March 07, 2024
Sex
Female
Sole Proprietor
Yes
Certification Date
March 07, 2024
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Peer Specialist (175T00000X)