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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