Individual
JOSE MELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
35 E 85TH ST OFC 2, NEW YORK, NY 10028-0962
(212) 988-3772
(212) 861-4672
Mailing address
35 E 85TH ST OFC 2, NEW YORK, NY 10028-0962
(212) 988-3772
(212) 861-4672
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
115934
NY
207RC0000X
Cardiovascular Disease Physician
Primary
115934
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00267723
RAILROAD MEDICARE
—
Enumeration date
07/27/2006
Last updated
03/06/2023
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