Individual
ABBA MELISSA CANNING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
315 S MANNING BLVD, ALBANY, NY 12208-1707
(617) 755-6676
(518) 525-6815
Mailing address
4 PALISADES DR 200, ALBANY, NY 12205-1443
(518) 591-1121
(518) 649-4094
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
011932
NY
Other
Enumeration date
09/05/2007
Last updated
12/14/2015
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