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NPI Code Detail

MEDICARE: MELVIN CHILDS

MEDICARE:   MELVIN  CHILDS
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 Counselor056948-1NY

General Provider Information

NPI Number : 1902532567
Entity Type Code : Individual
Provider Name (Legal Business Name) : MELVIN CHILDS
Provider Business Mailing Address
First Line : 8810 178TH ST APT 3B
Second Line :
City : JAMAICA
State : NY
Zip : 11432-4610
Country : US
Telephone Number : 678-927-4494
Fax Number : 347-894-8128
Provider Business Practice Location Address
First Line : 18718 LINDEN BLVD
Second Line :
City : SAINT ALBANS
State : NY
Zip : 11412-4026
Country : US
Telephone Number : 347-894-8111
Fax Number : 347-894-8128
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/26/2022
Last Update Date : 07/26/2022

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Directions to “ MELVIN CHILDS ” Practice Location

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