Individual
DR. MELANIE WATANABE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1309 FULTON AVE FL 1, BRONX, NY 10456-2412
(347) 752-0656
Mailing address
4209 28TH ST # CN48, LONG ISLAND CITY, NY 11101-4130
(347) 396-6299
(347) 396-6367
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
201263
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02516723
—
NY
Enumeration date
09/20/2006
Last updated
05/10/2024
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