Provider Demographics
NPI:1114163797
Name:DEUBLE-HANKINS, MELANYE CHRISTINE (RPA-C)
Entity Type:Individual
Prefix:
First Name:MELANYE
Middle Name:CHRISTINE
Last Name:DEUBLE-HANKINS
Suffix:
Gender:F
Credentials:RPA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:790 BUSTI SUGAR GROVE RD
Mailing Address - Street 2:
Mailing Address - City:JAMESTOWN
Mailing Address - State:NY
Mailing Address - Zip Code:14701-9587
Mailing Address - Country:US
Mailing Address - Phone:716-969-0357
Mailing Address - Fax:
Practice Address - Street 1:777 SENECA ALLEGANY BLVD
Practice Address - Street 2:
Practice Address - City:SALAMANCA
Practice Address - State:NY
Practice Address - Zip Code:14779-1377
Practice Address - Country:US
Practice Address - Phone:716-244-5065
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-01-02
Last Update Date:2009-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY007673363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant