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Provider Information for 1396019493

Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know

MRS. MELISSA GENE AMBROISE LMT

Other Name:   MELISSA GREENSHER
Gender: FEMALE

Individual NPI: 1396019493

Calendar   Last Updated:  2012-03-07
  Certification Date: 

Details

Name Value
NPI 1396019493
Enumeration Date 2012-03-07
NPI Type 1 - Individual
Sole Proprietor YES
Status Active
Mailing Address 326 CAYUGA RD
BUFFALO, NY 14225-1940
United States

Phone: 716-632-7373 | Fax: 716-706-1315
View Map External Link
Primary Practice Address 326 CAYUGA RD
BUFFALO, NY 14225-1940
United States

Phone: 716-632-7373 | Fax: 716-706-1315
View Map External Link
Health Information Exchange
Endpoint Type Endpoint Endpoint Description Use Content Type Affiliation Endpoint Location
Other Identifiers
Issuer State Number
Taxonomy
Primary Taxonomy Selected Taxonomy State License Number
Yes 225700000X - Massage Therapist NY 022366