National Provider Identifier

Melinda Elise Koschuk

Melinda Elise Koschuk is listed in the NPPES registry with a primary specialty of Case Manager/Care Coordinator in Lackawanna, NY and a listed phone number of (716) 822-4781.

NPI 1962763755Lackawanna, NYCase Manager/Care Coordinator

Profile Overview

NPI
1962763755
Provider Type
Individual
Primary Specialty
Case Manager/Care Coordinator
Enumeration Date
June 07, 2012
Last Updated
June 07, 2012

Practice Location

  • 697 Ridge RD
  • Lackawanna, NY 14218-1500

Phone: (716) 822-4781

Specialties

  • Case Manager/Care Coordinator (171M00000X)
Full Record
NPI
1962763755
Entity Type
Individual
Last Name
Koschuk
First Name
Melinda
Middle Name
Elise
Name Prefix
Mrs.
Mailing Street Address
697 Ridge RD
Mailing City
Lackawanna
Mailing State
NY
Mailing ZIP Code
14218-1500
Mailing Country
US
Mailing Phone
(716) 822-4781
Practice Street Address
697 Ridge RD
Practice City
Lackawanna
Practice State
NY
Practice ZIP Code
14218-1500
Practice Country
US
Practice Phone
(716) 822-4781
Enumeration Date
June 07, 2012
Last Updated
June 07, 2012
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Case Manager/Care Coordinator (171M00000X)