Individual
MELODY HYATT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1717 FRONT STREET, KEESVILLE, NY 12944-0000
(518) 834-0282
(518) 882-0282
Mailing address
2039 MORIAH RD, MORIAH, NY 12960-0000
(518) 546-7008
(518) 882-0282
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
000974-1
NY
Other
Enumeration date
12/09/2015
Last updated
12/09/2015
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