CHARLES MELLOR, PA

NPI: 1114014032 · Individual · Active

Primary Specialty

Physician Assistant

Practice Location

75 N COUNTRY RD
PORT JEFFERSON, NY 11777-2119 Map ↗
Phone: 631-473-1320
Fax: 631-686-7653

All Specialties & Licenses

  • Physician Assistant Primary (license: 004335, NY)

NPI Registration

Enumerated: 2006-10-10

Last CMS Update: 2015-10-22