MELVILLE SC LLC NPI 1679903470

NPI Information

NPI: 1679903470
Provider Name: MELVILLE SC, LLC
Classification: Clinic/Center - 261QM1300X
Specialization: Multi-Specialty
Entity Type: Organization
Doing Business As: MELVILLE SC ANESTHESIA
Address: 1895 WALT WHITMAN RD
SUITE 10
MELVILLE, NY
ZIP 11747
Phone: (631) 293-9700

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NPI Details

MELVILLE SC, LLC is a multi-specialty clinic center in Melville, NY. MELVILLE SC, LLC NPI is 1679903470. The provider is registered as an organization entity type.
The provider Is Doing Business As Melville Sc Anesthesia.

The provider's business location address is:

1895 WALT WHITMAN RD
SUITE 10
MELVILLE, NY
ZIP 11747-031
Phone: (631) 293-9700
Fax: (631) 293-2021

The provider's authorized official is Daniel Forsberg .
The authorized official title is Executive Director and has the following contact phone number (631) 293-9700.

The enumeration date for this NPI number is 11/15/2013 and was last updated on 11/15/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QM1300X	Clinic/Center	Multi-Specialty	5153209R	NEW YORK	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	33D0654179	OTHER	NEW YORK	CLIA
2	01287085	MEDICAID	NEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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