Provider Demographics
NPI:1588720791
Name:ALMELEH, RALPH (MD)
Entity type:Individual
Prefix:DR
First Name:RALPH
Middle Name:
Last Name:ALMELEH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:RALPH
Other - Middle Name:
Other - Last Name:ALMELEH
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:9515 69TH AVE
Mailing Address - Street 2:
Mailing Address - City:FOREST HILLS
Mailing Address - State:NY
Mailing Address - Zip Code:11375-5809
Mailing Address - Country:US
Mailing Address - Phone:718-416-1919
Mailing Address - Fax:
Practice Address - Street 1:7812 METROPOLITAN AVE
Practice Address - Street 2:
Practice Address - City:MIDDLE VILLAGE
Practice Address - State:NY
Practice Address - Zip Code:11379-2900
Practice Address - Country:US
Practice Address - Phone:718-416-1919
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-29
Last Update Date:2008-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY132730208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY26D382Medicare PIN
NY03093Medicare UPIN