MS. Melissa Stark
NPI #1184987612 in Ronkonkoma, New York
Provider Information
- NPI Number
- 1184987612
- Entity Type
- Individual
- Name
- MS. Melissa Stark
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Specialist
- Enumeration Date
- Jun 19, 2012
- Last Updated
- Jun 19, 2012
Practice Location
- Address
- 500 PECONIC ST APT 333B
- City
- Ronkonkoma
- State
- New York
- ZIP Code
- 11779-7101
- Phone
- (631) 981-2765
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
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