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Individual

STARRY J PARKS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
110 MAIN ST, MINEOLA, NY 11501-4000
(516) 747-5644
Mailing address
55 DEWITT ST, VALLEY STREAM, NY 11580-1612
(718) 340-9939

Taxonomy

Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
Primary
691477
NY

Other

Enumeration date
06/24/2022
Last updated
06/24/2022
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