Provider Demographics
NPI:1225039001
Name:MELMAN, MARTIN K (MD)
Entity Type:Individual
Prefix:
First Name:MARTIN
Middle Name:K
Last Name:MELMAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:14 CHURCH ST
Mailing Address - Street 2:SUITE 200
Mailing Address - City:OSSINING
Mailing Address - State:NY
Mailing Address - Zip Code:10562-4831
Mailing Address - Country:US
Mailing Address - Phone:914-923-9414
Mailing Address - Fax:914-923-9412
Practice Address - Street 1:87 GRAND ST
Practice Address - Street 2:
Practice Address - City:CROTON ON HUDSON
Practice Address - State:NY
Practice Address - Zip Code:10520-2518
Practice Address - Country:US
Practice Address - Phone:914-271-4845
Practice Address - Fax:914-271-4839
Is Sole Proprietor?:No
Enumeration Date:2005-08-03
Last Update Date:2010-04-21
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY126108207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY1225039001OtherNPI
NY1225039001OtherNPI
B13299Medicare UPIN