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Individual

ANGELICA STARK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSOT, OTR/L

Contact information

Practice address
976 AMSTERDAM AVE, NEW YORK, NY 10025-2201
(212) 222-9305
(212) 222-8129
Mailing address
1555 2ND AVE APT 4F, NEW YORK, NY 10028-3909
(917) 701-0318

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
031031
NY

Other

Enumeration date
03/23/2026
Last updated
03/23/2026
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