Melrose, Mark Andrew

Melrose, Mark Andrew is an individual health care provider with primary practice located at 199 Amsterdam Ave Urgent Care Manhattan, New York NY 10023. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Melrose, Mark Andrew can be contacted via phone (212) 721-4200.

Contact Information

Primary practice address
199 Amsterdam Ave Urgent Care Manhattan New York NY 10023
Phone: (212) 721-4200
Fax: (212) 721-4201
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 25MB04846900 New Jersey
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 174682 New York

Profile Details

NPI number 1861492985
LBN Legal business name Melrose, Mark Andrew
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 29th, 2005
Last updated Jul 23rd, 2014 - about 12 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 1861492985 NPPES
New Jersey MEDICAID 2291401
New Jersey Other A400049212

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