Organization
GOLDENS BRIDGE PEDIATRICS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LOIS O. STARK M.D. (PRESIDENT)
(914) 232-2600
Entity
Organization
Contact information
Practice address
190 GOLDENS BRIDGE RD, SUITE # 6, KATONAH, NY 10536-2804
(914) 232-2600
(914) 301-5232
Mailing address
190 GOLDENS BRIDGE ROAD BOX 488, GOLDENS BRIDGE, NY 10526
(914) 232-2600
(914) 301-5232
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
099591
NY
Other
Enumeration date
09/25/2006
Last updated
08/22/2020
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