Provider Demographics
NPI:1942511324
Name:MELENDEZ, OSCAR JOSE (ATC)
Entity Type:Individual
Prefix:MR
First Name:OSCAR
Middle Name:JOSE
Last Name:MELENDEZ
Suffix:
Gender:M
Credentials:ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:277 ELMONT ROAD
Mailing Address - Street 2:
Mailing Address - City:ELMONT
Mailing Address - State:NY
Mailing Address - Zip Code:11003-1618
Mailing Address - Country:US
Mailing Address - Phone:516-717-9926
Mailing Address - Fax:
Practice Address - Street 1:277 ELMONT ROAD
Practice Address - Street 2:
Practice Address - City:ELMONT
Practice Address - State:NY
Practice Address - Zip Code:11003-1618
Practice Address - Country:US
Practice Address - Phone:386-852-0631
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-06-30
Last Update Date:2023-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer