Individual
REBECCA STARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
75 EMERSON DR, GREAT NECK, NY 11023-1833
(516) 487-3424
Mailing address
75 EMERSON DR, GREAT NECK, NY 11023-1833
Taxonomy
Speciality
Code
Description
License number
State
171R00000X
Interpreter
Primary
—
—
Other
Enumeration date
03/02/2015
Last updated
03/02/2015
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