Melvin David Koplow in Staten Island - Adolescent Medicine

Melvin David Koplow - NPI 1437175023

Melvin David Koplow is a Adolescent Medicine in Staten Island, New York. Melvin David Koplow practices all healthcare services and medical treatments related to Adolescent Medicine. The NPI Number for Melvin David Koplow is 1437175023. The last update date is 2013-01-04.

Melvin David Koplow's current location address is 531 Huguenot Ave, Staten Island, New York. You can contact this provider via phone number 7189486162 and fax number 7187954371. The mailing address for Melvin David Koplow is 531 Huguenot Ave, Staten Island, New York. To know further, please read the information below!

Provider Profile Detail

Provider Name Melvin David Koplow
Address 531 Huguenot Ave, Staten Island, New York
Phone Number 7189486162
Fax Number 7187954371
Sole Proprietor Y
Credentials DO

NPI Number Detail

NPI Number 1437175023
Provider Enumeration Date 2006-07-15
Last Updated Date 2013-01-04

Provider Mailing Address Detail

Address 531 Huguenot Ave
City Staten Island
State New York (NY)
Post Code 103122658
Phone Number 7189486162
Fax Number 7187954371

Provider's Primary Taxonomy Detail

Speciality Adolescent Medicine
Taxonomy 2080A0000X
Licence No 113907
Definition:
A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
735213 NY --

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FAQs about Melvin David Koplow

What is the unique 10-digit identification code assigned to Melvin David Koplow by the Centers for Medicare & Medicaid Services?

The Melvin David Koplow has been issued the NPI (National Provider Identifier) 1437175023, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you kindly provide the complete physical address where Melvin David Koplow's facilities are geographically located?

The facilities of Melvin David Koplow are physically situated at the following location: 531 Huguenot Ave, Staten Island, NY, 103122658.

What is Melvin David Koplow's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Melvin David Koplow is Adolescent Medicine, and the taxonomy code that classifies this field of practice is 2080A0000X.

On what date did the Melvin David Koplow receive its 1437175023 assignment from the Centers for Medicare & Medicaid Services?

The Melvin David Koplow was assigned its 1437175023 by the Centers for Medicare & Medicaid Services on 2006-07-15.

As of what date was the information regarding Melvin David Koplow, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Melvin David Koplow, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2013-01-04.

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