Mantello, Melinda
Mantello, Melinda is an individual health care provider with primary practice located at 1 Tallow Wood Dr Suite 8, Clifton Park NY 12065-2807. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Mantello, Melinda can be contacted via phone (518) 373-4400.Contact Information
Primary practice address
1 Tallow Wood Dr Suite 8
Clifton Park NY 12065-2807
Phone: (518) 373-4400
Fax: (518) 383-7330
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 221145 | New York |
Profile Details
| NPI number | 1821058298 |
|---|---|
| LBN Legal business name | Mantello, Melinda |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 28th, 2006 |
| Last updated | May 12th, 2008 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1821058298 | NPPES |
| New York | MEDICAID | 02252293 |
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