Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | 083963 | NY |
N | 2080N0001X | Neonatal-Perinatal Doctor | 083963 | NY |
NPI | 1043435316 |
---|---|
Provider Name | Dr. Melvin Hollander |
First Address | Roslyn, NY 11576-2722 |
Second Address | Roslyn, NY 11576-2722 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 13/04/2007 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
C06633 | (02) | NY |