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Individual

DR. MELANIE ARIANE GOLD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DO

Contact information

Practice address
622 W 168TH ST # VC4-417, NEW YORK, NY 10032-3720
(212) 305-6227
Mailing address
622 W 168TH ST # VC4-417, NEW YORK, NY 10032-3720
(123) 056-2272

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
OS006856L
PA
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
188526
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
001549498
PA
Enumeration date
02/13/2006
Last updated
11/10/2020
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