Individual
DR. MONICA M MELAMEDOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
380 N BROADWAY, SUITE L2, JERICHO, NY 11753-2109
(516) 931-1776
(516) 942-1940
Mailing address
68 S SERVICE RD, SUITE 350, MELVILLE, NY 11747-2354
(516) 945-3000
(516) 945-3131
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
162566
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01227325
—
NY
01
—
0C6533
HEALTH NET
NY
01
—
15814
VYTRA
NY
01
—
162566
LICENCE
NY
01
—
23E981
EMPIRE BC/BS
NY
01
—
4130207
AETNA
NY
01
—
CP175
OXFORD
NY
Enumeration date
10/10/2006
Last updated
11/12/2009
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