Individual
MS. MELODIE JOY KOLMETZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
500 HAHNEMANN TRL, PITTSFORD, NY 14534-2356
(585) 389-0988
Mailing address
1870 WINTON RD S, ROCHESTER, NY 14618-3960
(585) 276-0830
(585) 424-4184
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
005322
NY
363AM0700X
Medical Physician Assistant
Primary
005322
NY
363AM0700X
Medical Physician Assistant
5322
NY
363AS0400X
Surgical Physician Assistant
005322
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000918016002
HEALTH NOW
—
01
—
108964BF
PREFERRED CARE
—
01
—
P019005322
EXCELLUS PLANS
—
Enumeration date
06/09/2006
Last updated
03/21/2023
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