Provider Demographics
NPI:1801046644
Name:MELI, GIOVANNI (PT)
Entity type:Individual
Prefix:DR
First Name:GIOVANNI
Middle Name:
Last Name:MELI
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3511 210TH ST
Mailing Address - Street 2:
Mailing Address - City:BAYSIDE
Mailing Address - State:NY
Mailing Address - Zip Code:11361-1438
Mailing Address - Country:US
Mailing Address - Phone:718-637-1025
Mailing Address - Fax:718-225-3015
Practice Address - Street 1:3511 210TH ST
Practice Address - Street 2:
Practice Address - City:BAYSIDE
Practice Address - State:NY
Practice Address - Zip Code:11361-1438
Practice Address - Country:US
Practice Address - Phone:718-637-1025
Practice Address - Fax:718-225-3015
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-29
Last Update Date:2011-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0257252251P0200X, 2251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic
No2251P0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistPediatrics