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General NPI Number Information
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NPI Number | 1245282524
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Entity Type | Individual
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Provider Name | MELISSA ADA LOUISE NEAL M.D.
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Gender | Female
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Dates
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Enumeration Date | 05/16/2006
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Last Update Date | 04/26/2011
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Provider Practice Location Address
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Address Line | 410 ELMWOOD AVE LOWER FLOOR
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City | BUFFALO
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State | NY
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Zip | 14222-2210
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Country | US
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Telephone | 716-462-5437
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Fax | 888-511-0393
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Provider Business Mailing Address
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Address Line | 766 AUBURN AVE
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City | BUFFALO
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State | NY
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Zip | 14222-1417
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Country | US
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Telephone | 716-880-6521
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | 35-82944
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | 241552
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License Number State | NY
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