Individual
MELISSA S GILLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1099 JAY ST BLDG P, ROCHESTER, NY 14611-1164
(585) 355-0037
Mailing address
1099 JAY ST BLDG P, ROCHESTER, NY 14611-1164
(585) 355-0037
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
NYCPS-P-5967
NY
Other
Enumeration date
03/07/2024
Last updated
03/07/2024
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