Individual
LYLE D STARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1 VALLEY HEALTH PLZ, PARAMUS, NJ 07652-3628
(201) 634-5555
(201) 634-5454
Mailing address
8 MILLS RD, MONTEBELLO, NY 10901-3747
(201) 913-3012
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
25MP00094700
NJ
363AS0400X
Surgical Physician Assistant
25MP00094700
NJ
Other
Enumeration date
09/24/2006
Last updated
03/31/2025
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