Melo, Andres Mauricio

Melo, Andres Mauricio is an individual health care provider with primary practice located at 55 N Main St , Freeport NY 11520-2243. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Melo, Andres Mauricio can be contacted via phone (516) 377-8014.

Contact Information

Primary practice address
55 N Main St Freeport NY 11520-2243
Phone: (516) 377-8014
Fax: (516) 377-8017
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 016262 New York

Profile Details

NPI number 1982948865
LBN Legal business name Melo, Andres Mauricio
Credentials RPAC, MPAS
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 16th, 2012
Last updated Nov 16th, 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1982948865 NPPES
New York Other 016262 LICENSE

Popular Providers