33D1091612 CLIA NUMBER - FLORANTE P MELCHOR MD

Laboratory Demographics

CLIA Number: 33D1091612

Facility Name: FLORANTE P MELCHOR MD

Facility Address:
120 BETHPAGE ROAD, SUITE 305
HICKSVILLE, NY
ZIP 11801
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Facility Phone Number: 516 935-1800

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1750383220

Taxonomy: 173000000X - Legal Medicine
The specialty areas of medicine concerned with matters of, and relations with, substantive law and legal institutions; such as the conduct of medical examinations at crime scenes, performance of autopsies, giving of expert medical testimony in judicial proceedings, medical treatment of inmates of penal institutions, the practice of trauma medicine in law enforcement settings, and other clinical practice and medical science applications in the fields of law, law enforcement, and corrections.

CLIA Record

Field Name Field Value
CLIA Number 33D1091612
LAB Type Physician Office
Facility Name FLORANTE P MELCHOR MD
Street 120 BETHPAGE ROAD, SUITE 305
City HICKSVILLE
State NY
ZIP 11801
Phone 516 935-1800
CertificateType 4
CertificateEffectiveDate 11/5/2022
CertificateExpirationDate 11/4/2024
FacilityType Waiver

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This page was last updated on: 4/23/2024