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Brett C Mellinger, MD

Urology in Garden City, NY. Individual provider (NPI-1).

NPI number1174586366
StatusActive
Last updated in NPPESApr 7, 2011

Details

NPI
1174586366
Entity type
Individual (NPI-1)
Name
Brett C Mellinger
Credential
MD
Sex
Male
Sole proprietor
No
Enumeration date
Apr 10, 2006
Last updated
Apr 7, 2011

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208800000X Urology156186NYYes

Practice location

100 Garden City Plaza
Suite 102
Garden City, NY 11530

Phone 516-873-5353 · Fax 516-873-8850

Mailing address

532 Broadhollow Road
Suite 142
Melville, NY 11747-4932

Phone 516-931-0041

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