- Practice location
- 301 Prospect Ave, Syracuse, NY 13203-1807
- Phone
- 315-448-5101
- Fax
- —
- Last updated
- January 11, 2024
Melissa C. Martisch is a Physician Assistant based in Syracuse, NY. Melissa C. Martisch practices in Syracuse, NY and has the professional credentials of PA. The NPI Number for Melissa C. Martisch is 1528340924 and holds a License No. 015114 (NY). The current practice location address for Melissa C. Martisch is 301 Prospect Ave, Syracuse, NY 13203-1807 and can be reached out via phone at 315-448-5101.
Provider Profile Details
- NPI Number
- 1528340924
- Provider Name
- Melissa C. Martisch
- Credential
- PA
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 301 Prospect Ave, Syracuse, NY 13203-1807
- Phone Number
- 315-448-5101
- Primary Taxonomy
- Physician Assistant · 363A00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- September 13, 2011
- Last Update Date
- January 11, 2024
- Certification Date
- January 11, 2024
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 301 Prospect Ave
Syracuse, NY 13203-1807 - City
- Syracuse
- State
- New York
- Zip
- 13203-1807
- Phone Number
- 315-448-5101
Provider Business Mailing Address Details
- Address
- 307 S Evergreen Ave
Woodbury, NJ 08096-2739 - City
- Woodbury
- State
- NJ
- Zip
- 08096-2739
- Phone Number
- 856-686-4317
License Information
- Taxonomy (1)
- Physician Assistant · 363A00000X
- License Number (2)
- 015114
- License State (2)
- NY
- Taxonomy (2)
- Physician Assistant · 363A00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Melissa C Martisch, PA?
The NPI number of Melissa C Martisch, PA is 1528340924. It was assigned on September 13, 2011 and is currently active in the NPPES registry.
What is the specialty of Melissa C Martisch, PA?
Melissa C Martisch, PA is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in NY under license number 015114.
Where does Melissa C Martisch, PA practice?
The practice location is 301 Prospect Ave, Syracuse, NY 13203-1807. The office can be reached at 315-448-5101 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1528340924 directly on the NPPES registry website.