Provider Demographics
NPI:1235158056
Name:BROWN, MELISSA I (MD)
Entity Type:Individual
Prefix:
First Name:MELISSA
Middle Name:I
Last Name:BROWN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1160 CHILI AVENUE, SUITE 200
Mailing Address - Street 2:DELPHI HEALTHCARE, PLLC
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14624-3035
Mailing Address - Country:US
Mailing Address - Phone:585-235-1514
Mailing Address - Fax:585-235-4186
Practice Address - Street 1:1160 CHILI AVENUE, SUITE 200
Practice Address - Street 2:DELPHI HEALTHCARE, PLLC
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14624-3035
Practice Address - Country:US
Practice Address - Phone:585-235-1514
Practice Address - Fax:585-235-4186
Is Sole Proprietor?:No
Enumeration Date:2006-07-19
Last Update Date:2019-10-24
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY228631207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYP020228631OtherBLUE CROSS OF ROCHESTER
NY168074BFOtherPREFERRED CARE
NY228631Medicaid
NYI05908Medicare UPIN
NYRA7578Medicare ID - Type UnspecifiedMEDICARE PART B
NY10690AMedicare ID - Type UnspecifiedMEDICARE B GROUP