Melissa Barlow
Individual provider Active NPI Specialist · Oswego, NY
NPI 1891496790 · NPPES record last updated Mar 16, 2023
Key facts
- NPI
- 1891496790
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Specialist 174400000X
- License
- 402089 (NY)
- Practice address
- 159 W 1St St
Oswego, NY 13126-2045 - Phone
- (315) 342-9575
- Fax
- (315) 342-7664
- NPI assigned
- Mar 16, 2023
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 402089 | NY | MD | Specialist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 402089 | NY | Yes |
Addresses
Primary practice location
159 W 1St St
Oswego, NY 13126-2045
Mailing address
8 W 5TH St
Oswego, NY 13126-1023
Other providers in Oswego, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 16, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.