Individual
MELISSA DIANE COLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPA-C
Contact information
Practice address
1555 LONG POND RD, EOU, ROCHESTER, NY 14626-4122
(585) 723-7000
Mailing address
1555 LONG POND RD, EOU, ROCHESTER, NY 14626-4122
(585) 723-7000
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
012208
NY
363AM0700X
Medical Physician Assistant
12208
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03024357
—
NY
01
—
P00742876-DD1972
RAILROAD MEDICARE
NY
Enumeration date
09/18/2007
Last updated
07/06/2023
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