Doctor Name: | JOHN MELBOURNE |
NPI Number: | 1427137256 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | 206098 |
Business Practice Address: | 600 Franklin St Schenectady, NY - 123052107 |
Business Phone Number: | 5183727031 |
Business Fax Number: | 5183727064 |
Mailing Address: | 600 Franklin St, SCHENECTADY |
State: | NY |
Postal Code: | 123052107 |
Phone Number: | 5183727031 |
Fax Number: | 5183727064 |
NPI Enumeration Date: | 11/03/2006 |
NPI Last Update Date: | 07/19/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 206098 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NY |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |