Individual
GARRY H STARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2035 LAKEVILLE RD, SUITE 101, NEW HYDE PARK, NY 11040-1661
(516) 328-9797
(516) 352-6579
Mailing address
2035 LAKEVILLE RD, SUITE 101, NEW HYDE PARK, NY 11040-1661
(516) 328-9797
(516) 352-6579
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
158466
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01722870
—
NY
Enumeration date
06/23/2006
Last updated
11/04/2010
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