Individual
MR. MAX STARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1010 E 19TH ST, BROOKLYN, NY 11230-3805
(718) 252-7112
Mailing address
1010 E 19TH ST, BROOKLYN, NY 11230-3805
(718) 252-7112
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
3718
NY
Other
Enumeration date
04/17/2013
Last updated
04/17/2013
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