Healthcare Provider Details

I. General information

NPI: 1376043976
Provider Name (Legal Business Name): MELISSA A SCHWARTZ DO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/20/2018
Last Update Date: 12/01/2025
Certification Date: 12/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

451 E HENRIETTA RD FL 2
ROCHESTER NY
14620-4629
US

IV. Provider business mailing address

111 WESTFALL RD RM 950
ROCHESTER NY
14620-4647
US

V. Phone/Fax

Practice location:
  • Phone: 585-753-5927
  • Fax:
Mailing address:
  • Phone: 585-753-5320
  • Fax: 585-753-5115

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2083P0901X
TaxonomyPublic Health & General Preventive Medicine Physician
License Number00313569
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: