NPI 1073054920

Melkie Demissie

Practitioner Driver Rochester, NY

Practice location

Address: 1100 University Ave Suite 208, Rochester, NY 14607-1653
Phone: (585) 506-2660

Registered specialties

Driver Primary

Other Service Providers Taxonomy 172A00000X Licence 773087314 (NY)

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Registry record

NPI: 1073054920
Entity type: Individual
Sex (as registered): Male
NPI issued: 12 Mar 2017
Record last updated: 12 Mar 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.