Provider Demographics
NPI:1881989069
Name:HRUBES, MELODY ROSE (MD)
Entity type:Individual
Prefix:DR
First Name:MELODY
Middle Name:ROSE
Last Name:HRUBES
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 29234
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10087-9234
Mailing Address - Country:US
Mailing Address - Phone:212-224-7995
Mailing Address - Fax:312-996-9025
Practice Address - Street 1:645 MADISON AVE FL 3
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10022-1010
Practice Address - Country:US
Practice Address - Phone:800-321-9999
Practice Address - Fax:267-497-1321
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-15
Last Update Date:2024-11-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY297354208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation