Haller, Melvin Lee
Haller, Melvin Lee is an sole proprietor health care provider with primary practice located at 3074 36Th St , Astoria NY 11103-4705. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Haller, Melvin Lee can be contacted via phone (718) 728-0224.Contact Information
Primary practice address
3074 36Th St
Astoria NY 11103-4705
Phone: (718) 728-0224
Fax: (718) 728-1626
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 112942 | New York |
Profile Details
| NPI number | 1124015946 |
|---|---|
| LBN Legal business name | Haller, Melvin Lee |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 6th, 2005 |
| Last updated | Dec 11th, 2007 - about 18 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 | 1124015946 | NPPES |
| New York | MEDICAID | 00242526 |
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