Individual provider · Type 1 NPI

Melvin Leo Wiedman, MEDICAL DOCTOR

Specialist · Manhasset, NY

NPI number 1235167206 Active

Practice location

2110 Northern Blvd, Ste. 205
Manhasset, NY 11030-3502

Call (516) 627-1811 Map

Fax (516) 627-1315

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XB02406 (NY)

Specialist: 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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About NPI 1235167206

Melvin Leo Wiedman, MEDICAL DOCTOR's National Provider Identifier is 1235167206, issued on Jun 29, 2006. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Manhasset, NY. The record was last updated on Sep 20, 2026.