Individual
JOHN MELBOURNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
600 FRANKLIN ST, SCHENECTADY, NY 12305-2107
(518) 372-7031
(518) 372-7064
Mailing address
108 COLLINS ST, SCOTIA, NY 12302-2513
(518) 370-5426
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
2060981
NY
207RA0401X
Addiction Medicine (Internal Medicine) Physician
Primary
206098-1
NY
208D00000X
General Practice Physician
206098
NY
Other
Enumeration date
11/03/2006
Last updated
03/19/2020
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