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NPI Code Detail

MEDICARE: DR. NANCY MELAMED DDS

MEDICARE: DR. NANCY MELAMED DDS
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
11223G0001XGeneral Practice Dentistry054973-1NY

General Provider Information

NPI Number : 1548404478
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. NANCY MELAMED DDS
Provider Business Mailing Address
First Line : 94-24 63RD DR
Second Line :
City : REGO PARK
State : NY
Zip : 11374-2028
Country : US
Telephone Number : 718-997-7762
Fax Number :
Provider Business Practice Location Address
First Line : 94-24 63RD DR
Second Line :
City : REGO PARK
State : NY
Zip : 11374-2028
Country : US
Telephone Number : 718-997-7762
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/22/2009
Last Update Date : 01/12/2026

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Directions to “ DR. NANCY MELAMED DDS” Practice Location

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