Individual
MELISANDE JOY PLOUTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PNP
Contact information
Practice address
601 ELMWOOD AVE, BOX 661, ROCHESTER, NY 14642-8410
(585) 275-1000
(585) 276-1985
Mailing address
601 ELMWOOD AVE, BOX 661, ROCHESTER, NY 14642-8410
(585) 275-1000
(585) 276-1985
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
382382
NY
363LP0200X
Pediatric Nurse Practitioner
Primary
F382382
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03596870
—
NY
Enumeration date
05/29/2013
Last updated
07/07/2023
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