person
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
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
State
Zip
11779-7101
Phone Number
631-981-2765
Fax Number
person
Provider Business Mailing Address Details
Address
500 Peconic St Apt 333B
City
State
Zip
11779-7101
Phone Number
631-981-2765
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
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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