Doctor Name: | MELISSA GAIL COTTON |
NPI Number: | 1124018452 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RPA C |
License Number: | 008509 |
Business Practice Address: | 25 Willowbrook Rd Suite 2 Queensbury, NY - 128045882 |
Business Phone Number: | 5187939156 |
Business Fax Number: | 5187936591 |
Mailing Address: | 25 Willowbrook Rd, Suite 2 QUEENSBURY |
State: | NY |
Postal Code: | 128045882 |
Phone Number: | 5187939156 |
Fax Number: | 5187936591 |
NPI Enumeration Date: | 10/27/2005 |
NPI Last Update Date: | 05/04/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AS0400X |
License Number: | 008509 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Surgical |
Taxonomy Definition: |