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General NPI Number Information
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NPI Number | 1174577217
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Entity Type | Individual
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Provider Name | MELINDA LEE STOSKI PT, DPT, MS, OCS,CPI
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Gender | Female
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Dates
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Enumeration Date | 05/22/2006
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Last Update Date | 12/14/2015
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Provider Practice Location Address
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Address Line | 2421 LONG BEACH RD SUITE 202
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City | OCEANSIDE
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State | NY
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Zip | 11572-1361
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Country | US
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Telephone | 516-992-2282
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Fax | 516-415-7604
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Provider Business Mailing Address
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Address Line | 2421 LONG BEACH RD SUITE 202
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City | OCEANSIDE
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State | NY
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Zip | 11572-1361
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Country | US
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Telephone | 516-992-2282
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Fax | 516-415-7604
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2251X0800X
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Taxonomy Name | Orthopedic Physical Therapist
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License Number | 013055
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number | 013055
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License Number State | NY
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