# GOLDENS BRIDGE PEDIATRICS, PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1457452450
- **Authorized official:** DR. LOIS O. STARK M.D. (PRESIDENT)
- **Authorized official phone:** (914) 232-2600

## Contact information

- **Practice address:** 190 GOLDENS BRIDGE RD, SUITE \# 6, KATONAH, NY 10536-2804
- **Practice address phone:** (914) 232-2600
- **Practice address fax:** (914) 301-5232
- **Mailing address:** 190 GOLDENS BRIDGE ROAD BOX 488, GOLDENS BRIDGE, NY 10526
- **Mailing address phone:** (914) 232-2600
- **Mailing address fax:** (914) 301-5232

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | 099591 | NY | Yes |

## Other

- **Enumeration date:** 09/25/2006
- **Last updated:** 08/22/2020