Organization
JEFFREY HOWARD STARK DPM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY HOWARD STARK DPM (OWNER)
(718) 821-2161
Entity
Organization
Contact information
Practice address
6216 MYRTLE AVE, GLENDALE, NY 11385-6236
(718) 821-2161
(718) 821-1252
Mailing address
6216 MYRTLE AVE, GLENDALE, NY 11385-6236
(718) 821-2161
(718) 821-1252
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
N004970
NY
Other
Enumeration date
01/08/2008
Last updated
12/25/2008
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