NPI 1104750769

Melissa a Short, RRA

Practitioner Radiology Practitioner Assistant Syracuse, NY

Practice location

Address: 301 Prospect Ave, Syracuse, NY 13203-1899
Phone: (315) 448-5771
Fax: (315) 448-5296
Mailing address: 11333 Duanesburg Rd, Delanson, NY 12053-2627

Registered specialties

Radiology Practitioner Assistant Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 243U00000X Licence 000277 (NY)

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Registry record

NPI: 1104750769
Entity type: Individual
Sex (as registered): Female
NPI issued: 10 Jun 2026
Record last updated: 10 Jun 2026

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.