Organization
GLENWOOD PODIATRY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY H STARK D.P.M. (PRESIDENT)
(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
213E00000X
Podiatrist
Primary
N004970
NY
Other
Enumeration date
09/12/2013
Last updated
11/07/2013
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