MEDICARE: DR. MELANIE YOLANDA WALCOTT D.C.

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	111N00000X	Chiropractor	011377-1	NY

General Provider Information

NPI Number	:	1821291386
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MELANIE YOLANDA WALCOTT D.C.

Provider Business Mailing Address
First Line	:	4031 WICKHAM AVE
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10466-2232
Country	:	US
Telephone Number	:	917-456-7671
Fax Number	:

Provider Business Practice Location Address
First Line	:	4256 BRONX BLVD
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10466-2611
Country	:	US
Telephone Number	:	718-655-0130
Fax Number	:	718-655-0133

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

Provider Enumeration Date	:	06/11/2007
Last Update Date	:	07/08/2007

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Directions to “ DR. MELANIE YOLANDA WALCOTT D.C.” Practice Location

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