Gina Stark

NPI #1003227133 in Jamaica, New York

Provider Information

NPI Number: 1003227133
Entity Type: Individual
Name: Gina Stark
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Registered Nurse
Enumeration Date: May 12, 2014
Last Updated: May 12, 2014

Practice Location

Address: 11616 141ST ST
City: Jamaica
State: New York
ZIP Code: 11436-1214
Phone: (201) 463-1471

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Registered Nurse	163W00000X	Primary

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