Individual
MARK ANDREW MELROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
199 AMSTERDAM AVE, URGENT CARE MANHATTAN, NEW YORK, NY 10023
(212) 721-4200
(212) 721-4201
Mailing address
199 AMSTERDAM AVE, URGENT CARE MANHATTAN, NEW YORK, NY 10023
(212) 721-4200
(212) 721-4201
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
174682
NY
207P00000X
Emergency Medicine Physician
25MB04846900
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2291401
—
NJ
01
—
A400049212
MEDICARE PTAN
NY
Enumeration date
07/29/2005
Last updated
07/23/2014
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