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NPI Code Detail

MEDICARE: MELINDA A.S PISARO CNM

MEDICARE:   MELINDA A.S PISARO  CNM
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207ZN0500XNeuropathology Physician1076NY
2367A00000XAdvanced Practice MidwifeF001076NY

General Provider Information

NPI Number : 1730170606
Entity Type Code : Individual
Provider Name (Legal Business Name) : MELINDA A.S PISARO CNM
Provider Business Mailing Address
First Line : 601 ELMWOOD AVE
Second Line : BOX 668
City : ROCHESTER
State : NY
Zip : 14642-0001
Country : US
Telephone Number : 585-275-7892
Fax Number : 585-482-1666
Provider Business Practice Location Address
First Line : 905 CULVER RD
Second Line :
City : ROCHESTER
State : NY
Zip : 14609
Country : US
Telephone Number : 585-275-7892
Fax Number : 585-442-1666
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/31/2005
Last Update Date : 07/07/2023

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Directions to “ MELINDA A.S PISARO CNM” Practice Location

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