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NPI Code Detail

MEDICARE: MARK ALAN MELAMED MD

MEDICARE:   MARK ALAN MELAMED  MD
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
1207W00000XOphthalmology Physician120483NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1952362261
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARK ALAN MELAMED MD
Provider Business Mailing Address
First Line : 1175 WEST BROADWAY
Second Line :
City : HEWLETT
State : NY
Zip : 11557-1913
Country : US
Telephone Number : 516-374-1122
Fax Number : 516-374-1025
Provider Business Practice Location Address
First Line : 1175 WEST BROADWAY
Second Line : SUITE# 25
City : HEWLETT
State : NY
Zip : 11557-1913
Country : US
Telephone Number : 516-374-1122
Fax Number : 516-374-1025
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/29/2006
Last Update Date : 10/03/2012

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