Individual provider · Type 1 NPI

Melissa Scala

Pediatric Nurse Practitioner · Stony Brook, NY

NPI number 1174414635 Active

Practice location

101 Nicolls Rd
Stony Brook, NY 11794-0001

Mailing address

10 Village Way
Smithtown, NY 11787-3708

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner Primary 363LP0200X383844 (NY)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1174414635

Melissa Scala's National Provider Identifier is 1174414635, issued on Jul 14, 2025. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Stony Brook, NY. The record was last updated on Jul 14, 2025.