Matott, Heather Melissa

Matott, Heather Melissa is an individual health care provider with primary practice located at 6 Wellness Way Ste 102 , Latham NY 12110-2156. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is her primary health care specialty. Matott, Heather Melissa 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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 279477 New York

Profile Details

NPI number 1326306655
LBN Legal business name Matott, Heather Melissa
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 24th, 2012
Last updated Feb 8th, 2024 - about 9 months 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 1326306655 NPPES
New York MEDICAID 04237101
New York Other 63234

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