Individual
MELISSA JANE DESOUZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPA-C
Contact information
Practice address
3980 SHERIDAN DR, AMHERST, NY 14226-1727
(716) 929-2800
(716) 929-2819
Mailing address
199 PARK CLUB LN, SUITE 300, WILLIAMSVILLE, NY 14221-5269
(716) 836-4646
(716) 836-4696
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
014927
NY
Other
Enumeration date
07/21/2011
Last updated
01/23/2017
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