Provider Demographics
NPI:1558477109
Name:MELITO, ELIZABETH CATHERINE (NP)
Entity Type:Individual
Prefix:MRS
First Name:ELIZABETH
Middle Name:CATHERINE
Last Name:MELITO
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Gender:F
Credentials:NP
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Mailing Address - Street 1:601 ELMWOOD AVE
Mailing Address - Street 2:BOX 679-C
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14642-0001
Mailing Address - Country:US
Mailing Address - Phone:585-275-0908
Mailing Address - Fax:585-242-9855
Practice Address - Street 1:601 ELMWOOD AVE
Practice Address - Street 2:BOX 679-C
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14642-0001
Practice Address - Country:US
Practice Address - Phone:585-275-0908
Practice Address - Fax:585-242-9855
Is Sole Proprietor?:No
Enumeration Date:2006-08-23
Last Update Date:2023-07-05
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY430096363LA2100X
NYF430096363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care