Individual
CASSANDRA STARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
165 BROADWAY FL 23, NEW YORK, NY 10006-1452
(888) 731-8994
Mailing address
139 CENTRE ST PH 120, NEW YORK, NY 10013-4559
(888) 731-8994
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
0991661
CO
Other
Enumeration date
04/20/2015
Last updated
12/05/2025
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