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NPI Code Detail

MEDICARE: STEPHEN JOSEPH MELONI M.D.

MEDICARE: STEPHEN JOSEPH MELONI 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
1207R00000XInternal Medicine Physician195-094NY
2207R00000XInternal Medicine Physician195094NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MDF361OTHERNYPREFERRED CARE
3P010195094OTHERNYBLUE CHOICE
4P020195094OTHERNYBLUE SHIELD ROCHESTER

General Provider Information

NPI Number : 1740249937
Entity Type Code : Individual
Provider Name (Legal Business Name) : STEPHEN JOSEPH MELONI M.D.
Provider Business Mailing Address
First Line : 2300 W JEFFERSON RD STE 400
Second Line :
City : PITTSFORD
State : NY
Zip : 14534-1090
Country : US
Telephone Number : 585-602-0500
Fax Number :
Provider Business Practice Location Address
First Line : 2300 W JEFFERSON RD STE 400
Second Line :
City : PITTSFORD
State : NY
Zip : 14534-1090
Country : US
Telephone Number : 585-602-0500
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/17/2006
Last Update Date : 07/12/2023

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Directions to “ STEPHEN JOSEPH MELONI M.D.” Practice Location

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