Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207V00000X | Obstetrician & Gynecologist | 226243 | MA |
Y | 207VX0201X | Gynecologic Oncologist | 302342 | NY |
N | 207VX0201X | Gynecologic Oncologist | A103517 | CA |
N | 207VX0201X | Gynecologic Oncologist | MD154556 | OR |
NPI | 1346307709 |
---|---|
Provider Name | Dr. Melissa Nelson Moffitt |
First Address | Buffalo, NY 14263-0001 |
Second Address | Buffalo, NY 14263-0001 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/01/2007 |
Last Update Date | 22/01/2021 |