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Ms. Melissa Stark
Specialist in Ronkonkoma, New York
NPI 1184987612

Melissa Stark is a Specialist based in Ronkonkoma, NY. Melissa Stark practices in Ronkonkoma, NY. The NPI Number for Melissa Stark is 1184987612 and holds a License No. 747782 (New York).

The current practice location address for Melissa Stark is 500 Peconic St Apt 333B, Ronkonkoma, NY and can be reached out via phone at 631-981-2765.

Location: 500 Peconic St Apt 333B, Ronkonkoma, NY, 11779-7101
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1184987612
Provider Name
Melissa Stark
Credential
Provider Entity Type
Individual
Gender
Female
Address
500 Peconic St Apt 333B, Ronkonkoma, NY, 11779-7101
Phone Number
631-981-2765
Fax Number
Provider Enumeration Date
06/19/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
500 Peconic St Apt 333B
City
Ronkonkoma
State
New York
Zip
11779-7101
Phone Number
631-981-2765
Fax Number
person
Provider Business Mailing Address Details
Address
500 Peconic St Apt 333B
City
Ronkonkoma
State
New York
Zip
11779-7101
Phone Number
631-981-2765
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
747782 (New York)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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