Individual
JASON ADAM MELNICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
664 STONELEIGH AVE, SUITE 300, CARMEL, NY 10512-3940
(845) 278-8400
(845) 278-4326
Mailing address
664 STONELEIGH AVE, SUITE 300, CARMEL, NY 10512-3940
(845) 278-8400
(845) 278-4326
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
237650
NY
208100000X
Physical Medicine & Rehabilitation Physician
55710
CT
208VP0014X
Interventional Pain Medicine Physician
Primary
237650
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00840089
MEDICARE RAILROAD
NY
Enumeration date
06/13/2007
Last updated
02/07/2019
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