Healthcare Provider Details

I. General information

NPI: 1093647877
Provider Name (Legal Business Name): MELISSA HILER
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/03/2026
Last Update Date: 06/03/2026
Certification Date: 05/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

75 CLINTON SQUARE STE 510 - PMB 17160271
ROCHESTER NY
14604
US

IV. Provider business mailing address

75 CLINTON SQUARE STE 510 - PMB 17160271
ROCHESTER NY
14604
US

V. Phone/Fax

Practice location:
  • Phone: 585-651-2229
  • Fax:
Mailing address:
  • Phone: 585-651-2229
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code224P00000X
TaxonomyProsthetist
License NumberNA
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: