Provider Demographics
NPI:1174577217
Name:STOSKI, MELINDA LEE (PT, DPT, MS, OCS,CPI)
Entity type:Individual
Prefix:DR
First Name:MELINDA
Middle Name:LEE
Last Name:STOSKI
Suffix:
Gender:F
Credentials:PT, DPT, MS, OCS,CPI
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Mailing Address - Street 1:2421 LONG BEACH RD
Mailing Address - Street 2:SUITE 202
Mailing Address - City:OCEANSIDE
Mailing Address - State:NY
Mailing Address - Zip Code:11572-1361
Mailing Address - Country:US
Mailing Address - Phone:516-992-2282
Mailing Address - Fax:516-415-7604
Practice Address - Street 1:2421 LONG BEACH RD
Practice Address - Street 2:SUITE 202
Practice Address - City:OCEANSIDE
Practice Address - State:NY
Practice Address - Zip Code:11572-1361
Practice Address - Country:US
Practice Address - Phone:516-992-2282
Practice Address - Fax:516-415-7604
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-22
Last Update Date:2015-12-14
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY0130552251X0800X, 261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic
No261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY107959POtherHIP PROV. #
NY0123036OtherGHI PROV. #
NY133998OtherVYTRA PROV. #
NY0495973OtherCIGNA PROV. #
NY11303OtherMAGNACARE PROV. #
NYQ35E42OtherBCBS PROVIDER #
NYQ35E42OtherBCBS PROVIDER #