Individual
MELISSA A. DEIMLING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
6 WELLNESS WAY STE 102, LATHAM, NY 12110-2156
(518) 713-2099
(518) 783-7506
Mailing address
6 WELLNESS WAY STE 201, LATHAM, NY 12110-2156
(518) 782-3700
(518) 782-3799
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
2009-01004
NC
208000000X
Pediatrics Physician
Primary
283867
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04449872
—
NY
Enumeration date
05/01/2008
Last updated
02/08/2024
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