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Individual
MELISSA OTTE
Active
Individual
MELISSA OTTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
016261
NY
363A00000X
Physician Assistant
Primary
0977
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03576501
—
NY
Enumeration date
12/03/2012
Last updated
06/28/2022
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