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Dr. Melvin Leo Wiedman, MEDICALDOCTOR
Specialist in Manhasset, New York
NPI 1235167206

Melvin Leo Wiedman is a Specialist based in Manhasset, NY. Melvin Leo Wiedman practices in Manhasset, NY and has the professional credentials of MEDICALDOCTOR. The NPI Number for Melvin Leo Wiedman is 1235167206 and holds a License No. B02406 (New York).

The current practice location address for Melvin Leo Wiedman is 2110 Northern Blvd, Manhasset, NY and can be reached out via phone at 516-627-1811 and via fax at 516-627-1315.

Location: 2110 Northern Blvd, Manhasset, NY, 11030-3502
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1235167206
Provider Name
Melvin Leo Wiedman
Credential
MEDICALDOCTOR
Provider Entity Type
Individual
Gender
Male
Address
2110 Northern Blvd, Manhasset, NY, 11030-3502
Phone Number
516-627-1811
Fax Number
516-627-1315
Provider Enumeration Date
06/29/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
2110 Northern Blvd
City
Manhasset
State
New York
Zip
11030-3502
Phone Number
516-627-1811
Fax Number
516-627-1315
person
Provider Business Mailing Address Details
Address
2110 Northern Blvd
City
Manhasset
State
New York
Zip
11030-3502
Phone Number
516-627-1811
Fax Number
516-627-1315
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
B02406 (New York)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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