Individual
ALLYSON CECILIA STARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGNP
Contact information
Practice address
2 NEW HAMPSHIRE AVE FL 2, TROY, NY 12180-1764
(518) 525-8220
Mailing address
PO BOX 14890, ALBANY, NY 12212-4890
(000) 000-0000
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
311673
NY
Other
Enumeration date
01/12/2024
Last updated
03/04/2024
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