Provider Demographics
NPI:1871521104
Name:MELNICK, HUGH D (MD)
Entity type:Individual
Prefix:DR
First Name:HUGH
Middle Name:D
Last Name:MELNICK
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:330 E 38TH ST APT 43NO
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10016-2759
Mailing Address - Country:US
Mailing Address - Phone:212-368-8700
Mailing Address - Fax:212-289-8461
Practice Address - Street 1:345 E 37TH ST RM 208
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10016-3256
Practice Address - Country:US
Practice Address - Phone:212-368-8700
Practice Address - Fax:212-289-8461
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-28
Last Update Date:2024-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY116793174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYNS272OtherOXFORD
NY0299563OtherGHI
NY458177OtherAETNA HMO
NYN72483OtherPHS
NY4207357OtherAETNA PPO
NY458177OtherAETNA HMO