Delazar, Melinda E
Delazar, Melinda E is an sole proprietor health care provider with primary practice located at 410 Gidney Ave Stop 3 , Newburgh NY 12550-3764. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Delazar, Melinda E can be contacted via phone (845) 243-0190.Contact Information
Primary practice address
410 Gidney Ave Stop 3
Newburgh NY 12550-3764
Phone: (845) 243-0190
Fax: (845) 565-5374
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 019455-1 | New York |
Profile Details
| NPI number | 1508137472 |
|---|---|
| LBN Legal business name | Delazar, Melinda E |
| Credentials | PSY.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 24th, 2012 |
| Last updated | Apr 27th, 2023 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1508137472 | NPPES |
| New York | MEDICAID | 03498006 |
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