Provider Demographics
NPI:1437253853
Name:MELMAN, ARNOLD (MD)
Entity Type:Individual
Prefix:
First Name:ARNOLD
Middle Name:
Last Name:MELMAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:23 AGNES CIR
Mailing Address - Street 2:
Mailing Address - City:ARDSLEY
Mailing Address - State:NY
Mailing Address - Zip Code:10502-1706
Mailing Address - Country:US
Mailing Address - Phone:212-639-1561
Mailing Address - Fax:212-249-5240
Practice Address - Street 1:969 PARK AVE
Practice Address - Street 2:SUIE 1G
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10028-0322
Practice Address - Country:US
Practice Address - Phone:212-639-1561
Practice Address - Fax:212-249-5140
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-08
Last Update Date:2012-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY136956208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology