Melkie Demissie
Driver in Rochester, NY. Individual provider (NPI-1).
NPI number1073054920
StatusActive
Last updated in NPPESMar 12, 2017
Details
- NPI
- 1073054920
- Entity type
- Individual (NPI-1)
- Name
- Mr. Melkie Demissie
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 12, 2017
- Last updated
- Mar 12, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 172A00000X | Driver | 773087314 | NY | Yes |
Practice location
1100 University AveSuite 208
Rochester, NY 14607-1653
Phone 585-506-2660
Mailing address
1100 University AveSuite 208
Rochester, NY 14607-1653
Phone 585-506-2660
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