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Contact Information

BRIAN J MELVILLE, MD
301 E MAIN ST
BAY SHORE, NY11706-8408
 Phone: 800-720-1664
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Anesthesiology

207L00000X 79 Physician/Addiction Medicine
 

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for BRIAN J MELVILLE · (Male)

NPI Number 1124280144
Status Active
Credentials MD
Entity Individual
Enumeration date 06/30/2008
Last updated 09/13/2016 - About 10 years ago
Sole proprietor 1 No
Identifiers
  • MA License # 237230
  • NY License # 280025-1
  • CT Other 168922160 DRIVER LICENSE
Hospital affiliation(s)
  • BROOKHAVEN MEMORIAL HOSPITAL MEDICAL CENTER - (Acute Care)
    101 HOSPITAL ROAD
    PATCHOGUE, NY 11772
  • JOHN T MATHER MEMORIAL HOSPITAL OF PORT JEFFERSON - (Acute Care)
    75 NORTH COUNTRY ROAD
    PORT JEFFERSON, NY 11777
  • ST CHARLES HOSPITAL - (Acute Care)
    200 BELLE TERRE ROAD
    PORT JEFFERSON, NY 11777
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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