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NPI Code Detail

MEDICARE: ANDREW MELCHER

MEDICARE: ANDREW MELCHER
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
1101YM0800XMental Health Counselor130466NY

General Provider Information

NPI Number : 1427905603
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANDREW MELCHER
Provider Business Mailing Address
First Line : 329 N SALINA ST
Second Line :
City : SYRACUSE
State : NY
Zip : 13203-1755
Country : US
Telephone Number : 315-471-1615
Fax Number :
Provider Business Practice Location Address
First Line : 329 N SALINA ST
Second Line :
City : SYRACUSE
State : NY
Zip : 13203-1755
Country : US
Telephone Number : 315-471-1615
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/16/2026
Last Update Date : 03/16/2026

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