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Individual

DR. IAN ALEXANDER MELLIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD, PHD

Contact information

Practice address
622 W 168TH ST, NEW YORK, NY 10032-3720
(212) 305-5697
Mailing address
630 WEST 168TH ST, PH 1564W, NEW YORK, NY 10032

Taxonomy

Speciality
Code
Description
License number
State
207ZB0001X
Blood Banking & Transfusion Medicine Physician
327229
NY
207ZC0006X
Clinical Pathology Physician
Primary
327229
NY
207ZP0104X
Chemical Pathology Physician
327229
NY
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
327229
NY

Other

Enumeration date
04/08/2021
Last updated
10/24/2025
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