Individual
DR. DEBORAH LYNN STARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
19 WEST 34TH ST PH, NEW YORK, NY 10001
(212) 744-2912
(212) 744-0293
Mailing address
444 EAST 86TH ST, APT 22A, NEW YORK, NY 10028
(212) 744-2912
(212) 744-0293
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
016389
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02768138
—
NY
01
—
230944P
HIP
NY
Enumeration date
04/17/2007
Last updated
07/08/2007
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