| Doctor Name: | PROF. MELISSA SONYA STOCKMAN |
| NPI Number: | 1205054137 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RN-CS, ANP, PNP |
| License Number: | F381245-1 |
| Business Practice Address: | 152 Islip Ave Ste 14 Islip, NY - 117513225 |
| Business Phone Number: | 6312776767 |
| Business Fax Number: | |
| Mailing Address: | 152 Islip Ave Ste 14, ISLIP |
| State: | NY |
| Postal Code: | 117513225 |
| Phone Number: | 6312776767 |
| Fax Number: | |
| NPI Enumeration Date: | 04/24/2007 |
| NPI Last Update Date: | 11/19/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LP0200X |
| License Number: | F381245-1 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NY |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Pediatrics |
| Taxonomy Definition: | |