Individual
NISEI M STARKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2460 BRONXWOOD AVE APT 5A, BRONX, NY 10469-4508
(646) 982-6595
Mailing address
2460 BRONXWOOD AVE APT 5A, BRONX, NY 10469-4508
(646) 982-6595
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
05/14/2024
Last updated
05/14/2024
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