Doctor Name: | MS. MELISSA J JULIANO |
NPI Number: | 1295836955 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PA-C |
License Number: | MA003587L |
Business Practice Address: | 71 Elk St Coudersport, PA - 169159601 |
Business Phone Number: | 8142747070 |
Business Fax Number: | 8142747879 |
Mailing Address: | 71 Elk St, COUDERSPORT |
State: | PA |
Postal Code: | 169159601 |
Phone Number: | 8142747070 |
Fax Number: | 8142747879 |
NPI Enumeration Date: | 09/26/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AM0700X |
License Number: | MA003587L |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Medical |
Taxonomy Definition: |