Individual
MR. MELKIE DEMISSIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1100 UNIVERSITY AVE, SUITE 208, ROCHESTER, NY 14607-1653
(585) 506-2660
Mailing address
1100 UNIVERSITY AVE, SUITE 208, ROCHESTER, NY 14607-1653
(585) 506-2660
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
773087314
NY
Other
Enumeration date
03/12/2017
Last updated
03/12/2017
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