Deimling, Melissa A.

Deimling, Melissa A. is an individual health care provider with primary practice located at 6 Wellness Way Ste 102 , Latham NY 12110-2156. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Deimling, Melissa A. can be contacted via phone (518) 713-2099.

Contact Information

Primary practice address
6 Wellness Way Ste 102 Latham NY 12110-2156
Phone: (518) 713-2099
Fax: (518) 783-7506
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 2009-01004 North Carolina
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 283867 New York

Profile Details

NPI number 1669648416
LBN Legal business name Deimling, Melissa A.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 1st, 2008
Last updated Feb 8th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1669648416 NPPES
New York MEDICAID 04449872

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