National Provider Identifier
Melinda Sue Maccormack, PA
Melinda Sue Maccormack, PA is listed in the NPPES registry with a primary specialty of Surgical Physician Assistant in Rochester, NY and a listed phone number of (585) 723-7000.
Profile Overview
- NPI
- 1992968911
- Provider Type
- Individual
- Primary Specialty
- Surgical Physician Assistant
- Enumeration Date
- July 09, 2008
- Last Updated
- April 09, 2020
Practice Location
- 1555 Long Pond RD
- Rochester, NY 14626-4122
Phone: (585) 723-7000
Specialties
- Surgical Physician Assistant (363AS0400X)
Full Record
- NPI
- 1992968911
- Entity Type
- Individual
- Last Name
- Maccormack
- First Name
- Melinda
- Middle Name
- Sue
- Credential
- PA
- Provider Other Last Name
- Ipsaro
- Provider Other First Name
- Melinda
- Provider Other Middle Name
- Sue
- Provider Other Credential Text
- PA
- Provider Other Last Name Type Code
- 1
- Mailing Street Address
- 1555 Long Pond RD
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14626-4122
- Mailing Country
- US
- Mailing Phone
- (585) 723-7000
- Practice Street Address
- 1555 Long Pond RD
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14626-4122
- Practice Country
- US
- Practice Phone
- (585) 723-7000
- Enumeration Date
- July 09, 2008
- Last Updated
- April 09, 2020
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- April 09, 2020
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Surgical Physician Assistant (363AS0400X)