Individual
DR. GARY N. MELLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
10 COMMERCE DR, NEW ROCHELLE, NY 10801-5214
(914) 637-3510
(914) 819-0061
Mailing address
10 COMMERCE DR, NEW ROCHELLE, NY 10801-5214
(914) 637-3510
(914) 819-0061
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
157250
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01210897
—
NY
Enumeration date
12/02/2005
Last updated
11/14/2007
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