Provider Demographics
NPI:1427668425
Name:OSGOOD, MELODY E (LAC)
Entity type:Individual
Prefix:
First Name:MELODY
Middle Name:E
Last Name:OSGOOD
Suffix:
Gender:
Credentials:LAC
Other - Prefix:
Other - First Name:MELODY
Other - Middle Name:E
Other - Last Name:FLAMMGER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LAC
Mailing Address - Street 1:25 FRANKLIN ST APT 303
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14604-1003
Mailing Address - Country:US
Mailing Address - Phone:832-588-8482
Mailing Address - Fax:
Practice Address - Street 1:411 N MAIN ST
Practice Address - Street 2:
Practice Address - City:NEWARK
Practice Address - State:NY
Practice Address - Zip Code:14513-1150
Practice Address - Country:US
Practice Address - Phone:832-588-8482
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-08-04
Last Update Date:2025-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY6737171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist