Individual
PROF. MELISSA SONYA STOCKMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN-CS, ANP, PNP
Contact information
Practice address
152 ISLIP AVE STE 23, ISLIP, NY 11751-3225
(631) 277-6767
Mailing address
152 ISLIP AVE STE 23, ISLIP, NY 11751-3225
(631) 277-6767
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F302133-1
NY
363LP0200X
Pediatric Nurse Practitioner
F381245-1
NY
Other
Enumeration date
04/24/2007
Last updated
02/09/2017
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