Provider Demographics
NPI:1356584502
Name:PAWELCZAK, MELISSA ANNE (MD)
Entity type:Individual
Prefix:DR
First Name:MELISSA
Middle Name:ANNE
Last Name:PAWELCZAK
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Gender:F
Credentials:MD
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Mailing Address - Street 1:121 MADISON AVE
Mailing Address - Street 2:APARTMENT 12A
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10016-7033
Mailing Address - Country:US
Mailing Address - Phone:212-263-6462
Mailing Address - Fax:212-562-3273
Practice Address - Street 1:550 1ST AVE
Practice Address - Street 2:3A
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10016-6402
Practice Address - Country:US
Practice Address - Phone:212-263-6462
Practice Address - Fax:212-562-3273
Is Sole Proprietor?:Yes
Enumeration Date:2009-04-16
Last Update Date:2009-04-16
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Provider Licenses
StateLicense IDTaxonomies
NY2442602080P0205X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0205XAllopathic & Osteopathic PhysiciansPediatricsPediatric Endocrinology