Stephanie Lark

NPI #1093429342 in Goshen, New York

Provider Information

NPI Number: 1093429342
Entity Type: Individual
Name: Stephanie Lark
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Specialist
Enumeration Date: Jan 11, 2023
Last Updated: Jan 11, 2023

Practice Location

Address: 301 MAIN ST STE B
City: Goshen
State: New York
ZIP Code: 10924-1636
Phone: (845) 458-8661

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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