Bottan, Melody Ann

Bottan, Melody Ann is an individual health care provider with primary practice located at 200 Belle Terre Rd , Port Jefferson NY 11777-1928. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, which is considered as her primary health care specialty. Bottan, Melody Ann can be contacted via phone (631) 474-6267.

Contact Information

Primary practice address
200 Belle Terre Rd Port Jefferson NY 11777-1928
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics 225XP0200X 63-013613 New York

Profile Details

NPI number 1447496484
LBN Legal business name Bottan, Melody Ann
Credentials MSOTR/L
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 22nd, 2008
Last updated Dec 22nd, 2008 - about 17 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.

Request for update

Popular Providers