MEDICARE: MS. MELANIE MARCIAL M.S., CCC-A

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
1	231H00000X	Audiologist	002114-1	NY
2	237600000X	Audiologist-Hearing Aid Fitter	002114-1	NY

General Provider Information

NPI Number	:	1912188954
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. MELANIE MARCIAL M.S., CCC-A

Provider Business Mailing Address
First Line	:	400 1ST AVE
Second Line	:	7TH FLOOR
City	:	NEW YORK
State	:	NY
Zip	:	10010-4004
Country	:	US
Telephone Number	:	917-256-4203
Fax Number	:

Provider Business Practice Location Address
First Line	:	400 1ST AVE
Second Line	:	7TH FLOOR
City	:	NEW YORK
State	:	NY
Zip	:	10010-4004
Country	:	US
Telephone Number	:	917-256-4203
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/19/2007
Last Update Date	:	08/24/2015

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