Melton, Alan R

Melton, Alan R is an individual health care provider with primary practice located at 150 E Sunrise Hwy 208, Lindenhurst NY 11757-2598. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Melton, Alan R can be contacted via phone (631) 225-7200.

Contact Information

Primary practice address
150 E Sunrise Hwy 208 Lindenhurst NY 11757-2598
Phone: (631) 225-7200
Fax: (631) 930-9451
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 017107 Connecticut
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 110140 New York

Profile Details

NPI number 1588660591
LBN Legal business name Melton, Alan R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 23rd, 2005
Last updated Oct 21st, 2011 - about 13 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 1588660591 NPPES
New York Other 02186203 MEDICAID GROUP #
New York Other W35021 MEDICAID GROUP #

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