Charles Mellor in Port Jefferson - Physician Assistant
Charles Mellor - NPI 1114014032
Charles Mellor is a Physician Assistant in Port Jefferson, New York. Charles Mellor practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Charles Mellor is 1114014032. The last update date is 2015-10-22.
Charles Mellor's current location address is 75 N Country Rd, Port Jefferson, New York. You can contact this provider via phone number 6314731320 and fax number 6316867653. The mailing address for Charles Mellor is 75 N Country Rd, Port Jefferson, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Charles Mellor |
|---|---|
| Address | 75 N Country Rd, Port Jefferson, New York |
| Phone Number | 6314731320 |
| Fax Number | 6316867653 |
| Sole Proprietor | N |
| Credentials | PA |
NPI Number Detail
| NPI Number | 1114014032 |
|---|---|
| Provider Enumeration Date | 2006-10-10 |
| Last Updated Date | 2015-10-22 |
Provider Mailing Address Detail
| Address | 75 N Country Rd |
|---|---|
| City | Port Jefferson |
| State | New York (NY) |
| Post Code | 117772119 |
| Phone Number | 6314731320 |
| Fax Number | 6316867653 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 4335 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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What is the unique identifier code issued to Charles Mellor by the Centers for Medicare & Medicaid Services?
The Charles Mellor has been assigned the NPI (National Provider Identifier) 1114014032. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Charles Mellor is physically located?
The Charles Mellor is situated at the following address: 75 N Country Rd, Port Jefferson, NY 117772119.
What is Charles Mellor's specialized field of practice, and what is the corresponding taxonomy classification code?
The Charles Mellor's area of specialization is Physician Assistant, and the corresponding taxonomy code that categorizes this field of practice is 363A00000X.
On what date was the 1114014032 assigned to Charles Mellor?
The Charles Mellor was issued its 1114014032 on 2006-10-10, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Charles Mellor most recently updated?
The details pertaining to the Charles Mellor, including its address, specialty, and other relevant information, were last refreshed on 2015-10-22.
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