Individual
MELISSA COPELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
2 RUBIN DR, RUSHVILLE HEALTH CENTER, RUSHVILLE, NY 14544-9681
(585) 554-6824
Mailing address
2 RUBIN DR, RUSHVILLE HEALTH CENTER, RUSHVILLE, NY 14544-9681
(585) 554-6824
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
053541
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00618199
—
NY
Enumeration date
09/21/2006
Last updated
11/20/2007
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