Provider Demographics
NPI:1477521359
Name:MELCHIORRE, PHILIP (MD)
Entity type:Individual
Prefix:MR
First Name:PHILIP
Middle Name:
Last Name:MELCHIORRE
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:HELEN HAYES HOSPITAL
Mailing Address - Street 2:51-55 N ROUTE 9W
Mailing Address - City:WEST HAVERSTRAW
Mailing Address - State:NY
Mailing Address - Zip Code:10993-1127
Mailing Address - Country:US
Mailing Address - Phone:845-786-4062
Mailing Address - Fax:845-786-4526
Practice Address - Street 1:HELEN HAYES HOSPITAL
Practice Address - Street 2:51-55 N ROUTE 9W
Practice Address - City:WEST HAVERSTRAW
Practice Address - State:NY
Practice Address - Zip Code:10993-1127
Practice Address - Country:US
Practice Address - Phone:845-786-4062
Practice Address - Fax:845-786-4526
Is Sole Proprietor?:No
Enumeration Date:2006-03-08
Last Update Date:2025-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY183679-1225400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225400000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01878606Medicaid
NY24Z791Medicare ID - Type Unspecified
NY01878606Medicaid