DR. Jeffrey Howard Stark, DPM

NPI #1124112255 in Glendale, New York

Provider Information

NPI Number
1124112255
Entity Type
Individual
Name
DR. Jeffrey Howard Stark, DPM
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Podiatrist
Credential
DPM
Enumeration Date
Oct 3, 2006
Last Updated
Nov 7, 2013

Practice Location

Address
6216 MYRTLE AVE
ZIP Code
11385-6236
Phone
(718) 821-2161

Specialties & Taxonomy Codes

Specialty
Podiatrist

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