Organization
MELINDA CLANCY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELINDA CLANCY (LICENSED PRACTICAL NURSE)
(585) 512-9839
Entity
Organization
Contact information
Practice address
1620 NORTON ST, ROCHESTER, NY 14609-2122
(585) 512-9839
Mailing address
1620 NORTON ST, ROCHESTER, NY 14609-2122
Taxonomy
Speciality
Code
Description
License number
State
3140N1450X
Pediatric Skilled Nursing Facility
Primary
296159
NY
Other
Enumeration date
07/29/2014
Last updated
07/29/2014
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