Provider Demographics
NPI:1366636151
Name:AFS MEDICAL SERVICES, PLLC
Entity Type:Organization
Organization Name:AFS MEDICAL SERVICES, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MD
Authorized Official - Prefix:
Authorized Official - First Name:HUGH
Authorized Official - Middle Name:D
Authorized Official - Last Name:MELNICK
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:212-369-8700
Mailing Address - Street 1:1625 3RD AVE
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10128-3637
Mailing Address - Country:US
Mailing Address - Phone:212-369-8700
Mailing Address - Fax:212-289-8461
Practice Address - Street 1:1625 3RD AVE
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10128-3637
Practice Address - Country:US
Practice Address - Phone:212-369-8700
Practice Address - Fax:212-289-8461
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-05
Last Update Date:2007-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY116793174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty