Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0205X | Pediatric Endocrinologist | 244260 | NY |
NPI | 1356584502 |
---|---|
Provider Name | Dr. Melissa Anne Pawelczak |
First Address | New York, NY 10016-7033 |
Second Address | New York, NY 10016-6402 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 16/04/2009 |
Last Update Date | 16/04/2009 |