Melnekoff, Philip

Melnekoff, Philip is an sole proprietor health care provider with primary practice located at 108 Terryville Road , Port Jefferson Station NY 11776-0248. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Melnekoff, Philip can be contacted via phone (631) 928-2349.

Contact Information

Primary practice address
108 Terryville Road Port Jefferson Station NY 11776-0248
Fax: (631) 473-7830
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 004072 New York

Profile Details

NPI number 1013129519
LBN Legal business name Melnekoff, Philip
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 4th, 2007
Last updated Mar 24th, 2017 - about 7 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1013129519 NPPES
New York Other 144384 VALUEOPTIONS
New York Other 0052416 VALUEOPTIONS

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