Provider Demographics
NPI:1568464865
Name:HERZFELD, MELANIE (AUD)
Entity Type:Individual
Prefix:DR
First Name:MELANIE
Middle Name:
Last Name:HERZFELD
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:113 CROSSWAYS PARK DR
Mailing Address - Street 2:SUITE 101
Mailing Address - City:WOODBURY
Mailing Address - State:NY
Mailing Address - Zip Code:11797-2044
Mailing Address - Country:US
Mailing Address - Phone:516-364-0011
Mailing Address - Fax:516-364-0013
Practice Address - Street 1:113 CROSSWAYS PARK DR
Practice Address - Street 2:SUITE 101
Practice Address - City:WOODBURY
Practice Address - State:NY
Practice Address - Zip Code:11797-2044
Practice Address - Country:US
Practice Address - Phone:516-364-0011
Practice Address - Fax:516-364-0013
Is Sole Proprietor?:No
Enumeration Date:2005-06-01
Last Update Date:2014-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY000134231H00000X, 231HA2500X, 231HA2400X
NY14000002070237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
No237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter
No231HA2500XSpeech, Language and Hearing Service ProvidersAudiologistAssistive Technology Supplier
No231HA2400XSpeech, Language and Hearing Service ProvidersAudiologistAssistive Technology Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY200093420OtherVARIOUS INSURANCES
NY930OtherVYTRA
NY71782OtherUNITEDHEALTHCARE
NYM72841OtherEMPIRE BLUE CROSS
NY5924241OtherAETNA
NY390014OtherCONNECTICARE
NY3C6565OtherHEALTHNET
NYP885877OtherOXFORD
NY000134OtherHIP
NYM72841OtherEMPIRE BLUE CROSS
NYM25911Medicare PIN