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NPI Code Detail

MEDICARE: MELANIE LYNN MCNALLY M.D.

MEDICARE: MELANIE LYNN MCNALLY M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1174400000XSpecialist223644NY
2208800000XUrology Physician223644NY

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
8P00721228OTHERNYRR MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1147792FZOTHERNYMVP
21990648OTHERNYIHA
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4090327000016OTHERNYFIDELIS
500026003103OTHERNYUNIVERA
60567841OTHERNYGHI
7000921314004OTHERNYBCBS

General Provider Information

NPI Number : 1427072776
Entity Type Code : Individual
Provider Name (Legal Business Name) : MELANIE LYNN MCNALLY M.D.
Provider Business Mailing Address
First Line : 100 METROPOLITAN PARK DR STE 100
Second Line :
City : LIVERPOOL
State : NY
Zip : 13088-5842
Country : US
Telephone Number : 315-870-9370
Fax Number : 315-870-9364
Provider Business Practice Location Address
First Line : 192 GENESEE ST
Second Line :
City : AUBURN
State : NY
Zip : 13021-3361
Country : US
Telephone Number : 315-258-5253
Fax Number : 315-258-0202
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/27/2006
Last Update Date : 09/15/2025

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