Kendall Stark

NPI #1104505767 in Little Neck, New York

Provider Information

NPI Number: 1104505767
Entity Type: Individual
Name: Kendall Stark
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker
Enumeration Date: Jul 12, 2023
Last Updated: Jul 12, 2023

Practice Location

Address: 5928 LITTLE NECK PKWY
City: Little Neck
State: New York
ZIP Code: 11362-2532
Phone: (718) 224-0566

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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