Organization
JEFFREY M STARK, DPM
Active
Other names
Dr. Jeffrey M. Stark, DPM
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY M STARK DPM (PODIATRIST)
(516) 764-3500
Entity
Organization
Contact information
Practice address
1 DUNCAN PL, OCEANSIDE, NY 11572-1306
(516) 765-3500
(516) 536-4236
Mailing address
1 DUNCAN PL, OCEANSIDE, NY 11572-1306
(516) 765-3500
(516) 536-4236
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
N003165-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00490042
—
NY
Enumeration date
11/28/2006
Last updated
05/08/2008
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