Melamed, Mark Alan

Melamed, Mark Alan is an individual health care provider with primary practice located at 1175 West Broadway Suite# 25, Hewlett NY 11557-1913. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Melamed, Mark Alan can be contacted via phone (516) 374-1122.

Contact Information

Primary practice address
1175 West Broadway Suite# 25 Hewlett NY 11557-1913
Fax: (516) 374-1025
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 120483 New York

Profile Details

NPI number 1952362261
LBN Legal business name Melamed, Mark Alan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 29th, 2006
Last updated Oct 3rd, 2012 - about 14 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1952362261 NPPES
New York MEDICAID 00325631

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