MATTHEW MIELNICK OTR/L
NPI 1265677090
Specialist in Clayville, NY
- Individual
- Male
- Specialist
About MATTHEW MIELNICK
This page provides the complete NPI Profile along with additional information for Matthew Mielnick, a provider established in Clayville, New York with a medical specialization in Specialist. The healthcare provider is registered in the NPI registry with number 1265677090 assigned on December 2008. The practitioner's primary taxonomy code is 174400000X with license number 009440-1 (NY). The provider is registered as an individual and his NPI record was last updated 18 years ago.
- NPI
- 1265677090 Verify this NPI
- Provider Name
- MATTHEW MIELNICK OTR/L
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 2063 RESERVOIR RD CLAYVILLE, NY 13322
- Location Phone
- (315) 839-6007
- Location Fax
- (315) 853-2076
- Mailing Address
- 2063 RESERVOIR RD CLAYVILLE, NY 13322
- Mailing Phone
- (315) 839-6007
- Mailing Fax
- (315) 853-2076
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 12-08-2008
- Last Update Date
- 12-08-2008
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Specialist
- Taxonomy Code
- 174400000X
- Type
- Other Service Providers
- License No.
- 009440-1
- License State
- NY
- Taxonomy Description
- 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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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1265677090, enumerated as an "individual" on December 08, 2008.
The provider is located at 2063 RESERVOIR RD CLAYVILLE, NY 13322 and the phone number is (315) 839-6007.
Specialist with taxonomy code 174400000X.
