Provider Demographics
NPI:1871977298
Name:MELNIKAU, SIARHEI (MD)
Entity type:Individual
Prefix:
First Name:SIARHEI
Middle Name:
Last Name:MELNIKAU
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:SIARHEI
Other - Middle Name:
Other - Last Name:MELNIKAU
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:321 86TH ST APT 2D
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11209-5027
Mailing Address - Country:US
Mailing Address - Phone:646-924-9367
Mailing Address - Fax:
Practice Address - Street 1:321 86TH ST APT 2D
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11209-5027
Practice Address - Country:US
Practice Address - Phone:646-924-9367
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-07-15
Last Update Date:2021-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY3133812086X0206X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086X0206XAllopathic & Osteopathic PhysiciansSurgerySurgical Oncology