Individual
KATHLEEN E. MELVILLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
622 W 168TH ST, NEW YORK, NY 10032-3720
(212) 305-9817
(212) 305-8464
Mailing address
630 W 168TH ST # 4, NEW YORK, NY 10032-3725
(212) 305-9817
(212) 305-8464
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD457320
PA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
292594
NY
207RP1001X
Pulmonary Disease Physician
292594
NY
Other
Enumeration date
05/08/2013
Last updated
05/17/2022
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