Individual
MR. CARLOS ALBERTO MELENDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
760 BROADWAY, BROOKLYN, NY 11206-5317
(718) 963-8533
Mailing address
2086 MILBURN AVE, NORTH BALDWIN, NY 11510-2931
(718) 963-8533
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
007815
NY
Other
Enumeration date
08/15/2006
Last updated
07/08/2007
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