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Organization
MELISSA STOCKMAN ADULT CARE NP PC
Active
Organization
MELISSA STOCKMAN ADULT CARE NP PC
Active
Parent organization
MELISSA STOCKMAN
Organization subpart
Yes
Provider details
NPI number
Legal business name
MELISSA STOCKMAN
Authorized official
MELISSA STOCKMAN BC-ANP, PNP, RN (OWNER)
(631) 758-5635
Entity
Organization
Contact information
Practice address
152 ISLIP AVE, SUITE 23, ISLIP, NY 11751-3225
(613) 277-6767
Mailing address
41 GREENPORT AVE, MEDFORD, NY 11763-3601
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F302133-1
NY
Other
Enumeration date
01/02/2017
Last updated
01/02/2017
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