Individual
DR. MICHAEL I STARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
88 UNIVERSITY PL, #4B, NEW YORK, NY 10003-4513
(212) 741-8874
Mailing address
88 UNIVERSITY PL, #4B, NEW YORK, NY 10003-4513
(212) 741-8874
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0092461
NY
Other
Enumeration date
11/06/2006
Last updated
07/08/2007
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