Individual
MELINDA SUE MACCORMACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1555 LONG POND RD, ROCHESTER, NY 14626-4122
(585) 723-7000
Mailing address
1555 LONG POND RD, ROCHESTER, NY 14626-4122
(585) 723-7000
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
012940
NY
Other
Enumeration date
07/09/2008
Last updated
04/09/2020
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