Mellinger, Mark V.
Mellinger, Mark V. is an sole proprietor health care provider with primary practice located at 680 W End Ave Suite 1A, New York NY 10025-6815. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Mellinger, Mark V. can be contacted via phone (212) 864-2436.Contact Information
Primary practice address
680 W End Ave Suite 1A
New York NY 10025-6815
Phone: (212) 864-2436
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 006704-1 | New York |
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 002093 | Connecticut |
Profile Details
| NPI number | 1629069711 |
|---|---|
| LBN Legal business name | Mellinger, Mark V. |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 29th, 2005 |
| Last updated | Jan 27th, 2011 - about 15 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 | 1629069711 | NPPES |
| New York | MEDICAID | 00685456 | |
| New York | Other | 145203000 |
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