Individual
MARK ALAN MELAMED
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1175 WEST BROADWAY, SUITE# 25, HEWLETT, NY 11557-1913
(516) 374-1122
(516) 374-1025
Mailing address
1175 WEST BROADWAY, HEWLETT, NY 11557-1913
(516) 374-1122
(516) 374-1025
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
120483
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00325631
—
NY
Enumeration date
03/29/2006
Last updated
10/03/2012
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