Otero, Melissa

Otero, Melissa is an individual health care provider with primary practice located at 100 Woods Rd , Valhalla NY 10595-1530. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Otero, Melissa can be contacted via phone (914) 493-7000.

Contact Information

Primary practice address
100 Woods Rd Valhalla NY 10595-1530
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 019427 New York

Profile Details

NPI number 1033306022
LBN Legal business name Otero, Melissa
Credentials PSY.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 3rd, 2007
Last updated Feb 27th, 2015 - about 9 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 1033306022 NPPES
New York MEDICAID 03492862

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