Individual
MELANIE LYNN MCNALLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
192 GENESEE ST, AUBURN, NY 13021-3361
(315) 258-5253
(315) 258-0202
Mailing address
100 METROPOLITAN PARK DR STE 100, LIVERPOOL, NY 13088-5842
(315) 870-9370
(315) 870-9364
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
223644
NY
208800000X
Urology Physician
Primary
223644
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00026003103
UNIVERA
NY
01
—
000921314004
BCBS
NY
01
—
0567841
GHI
NY
01
—
090327000016
FIDELIS
NY
01
—
147792FZ
MVP
NY
01
—
1990648
IHA
NY
05
—
2310007
—
NY
01
—
P00721228
RR MEDICARE
NY
Enumeration date
07/27/2006
Last updated
09/15/2025
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