Mellen, Gary N.
Mellen, Gary N. is an individual health care provider with primary practice located at 10 Commerce Dr , New Rochelle NY 10801-5214. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Mellen, Gary N. can be contacted via phone (914) 637-3510.Contact Information
Primary practice address
10 Commerce Dr
New Rochelle NY 10801-5214
Phone: (914) 637-3510
Fax: (914) 819-0061
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 157250 | New York |
Profile Details
| NPI number | 1346224482 |
|---|---|
| LBN Legal business name | Mellen, Gary N. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 2nd, 2005 |
| Last updated | Nov 14th, 2007 - about 17 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 | 1346224482 | NPPES |
| New York | MEDICAID | 01210897 |
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