Healthcare Provider Details

I. General information

NPI: 1477521359
Provider Name (Legal Business Name): PHILIP MELCHIORRE MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/08/2006
Last Update Date: 08/13/2025
Certification Date: 02/12/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

HELEN HAYES HOSPITAL 51-55 N ROUTE 9W
WEST HAVERSTRAW NY
10993-1127
US

IV. Provider business mailing address

HELEN HAYES HOSPITAL 51-55 N ROUTE 9W
WEST HAVERSTRAW NY
10993-1127
US

V. Phone/Fax

Practice location:
  • Phone: 845-786-4062
  • Fax: 845-786-4526
Mailing address:
  • Phone: 845-786-4062
  • Fax: 845-786-4526

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225400000X
TaxonomyRehabilitation Practitioner
License Number183679-1
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: