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Contact Information

MELVIN WIEDERKEHR, MD
198 FOSTER AVE
BROOKLYN, NY11230
 Phone: 718-435-7676
 Fax: 718-871-1223
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Otolaryngology

207Y00000X 04 Physician/Otolaryngology
Indicates primary specialty

NPI Profile & details for MELVIN WIEDERKEHR · (Male)

NPI Number 1285647206
Status Active
Credentials MD
Entity Individual
Enumeration date 08/14/2006
Last updated 08/21/2018 - About 8 years ago
Sole proprietor 1 Yes
Identifiers
  • NY License # 128407
  • NY Other 128407 MEDICAL LICENSE
Hospital affiliation(s) Not Available
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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