Melnekoff, Philip
Melnekoff, Philip is an sole proprietor health care provider with primary practice located at 108 Terryville Road , Port Jefferson Station NY 11776-0248. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Melnekoff, Philip can be contacted via phone (631) 928-2349.Contact Information
Primary practice address
108 Terryville Road
Port Jefferson Station NY 11776-0248
Phone: (631) 928-2349
Fax: (631) 473-7830
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 004072 | New York |
Profile Details
| NPI number | 1013129519 |
|---|---|
| LBN Legal business name | Melnekoff, Philip |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 4th, 2007 |
| Last updated | Mar 24th, 2017 - about 9 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 | 1013129519 | NPPES |
| New York | Other | 144384 | VALUEOPTIONS |
| New York | Other | 0052416 | VALUEOPTIONS |
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