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NPI Code Detail

MEDICARE: CHARLES P MELONE JR. M.D.

MEDICARE: CHARLES P MELONE JR. 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
1207XS0106XOrthopaedic Hand Surgery Physician107813NY

General Provider Information

NPI Number : 1205942786
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHARLES P MELONE JR. M.D.
Provider Business Mailing Address
First Line : PO BOX 270
Second Line :
City : MASSAPEQUA PARK
State : NY
Zip : 11762-0270
Country : US
Telephone Number : 631-264-2035
Fax Number : 631-264-1418
Provider Business Practice Location Address
First Line : 321 E 34TH ST
Second Line :
City : NEW YORK
State : NY
Zip : 10016-4942
Country : US
Telephone Number : 212-340-0089
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/21/2006
Last Update Date : 08/20/2014

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