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Organization

SPORTS MEDICINE AT CHELSEA, PLLC.

Active
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Organization

SPORTS MEDICINE AT CHELSEA, PLLC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CLIFFORD D STARK D.O. (MEDICAL DIRECTOR)
(212) 366-5100
Entity
Organization

Contact information

Practice address
30 W 24TH ST FL 2, NEW YORK, NY 10010-3560
(212) 366-5100
(212) 366-6275
Mailing address
30 W 24TH ST FL 2, NEW YORK, NY 10010-3560
(212) 366-5100
(212) 366-6275

Taxonomy

Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
2247351
NY

Other

Enumeration date
08/11/2006
Last updated
02/22/2019
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