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Individual

MS. MELISSA RUBADEAUX

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
608 WILLIAM ST, BUFFALO, NY 14206-1649
(716) 858-7049
(716) 585-2127
Mailing address
608 WILLIAM ST, BUFFALO, NY 14206-1649
(716) 858-7049
(716) 585-2127

Taxonomy

Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
F42074301
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
160746860
UNIVERA
01
500560925001
BCBS
01
9512834
IHA
Enumeration date
11/20/2006
Last updated
11/07/2014
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