Individual provider · Type 1 NPI
Jeffrey M. Stark, D.P.M.
Primary Podiatric Medicine Podiatrist · Oceanside, NY
NPI number
1114922994
Active
Practice location
1 Duncan Pl
Oceanside, NY 11572-1306
Fax (516) 536-4236
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Podiatric Medicine Podiatrist Primary | 213EP1101X | NOO3165-1 (NY) |
| Foot & Ankle Surgery Podiatrist | 213ES0103X | N003165-1 (NY) |
Primary Podiatric Medicine Podiatrist: Definition to come...
Another provider at this address
About NPI 1114922994
Jeffrey M. Stark, D.P.M.'s National Provider Identifier is 1114922994, issued on Jun 17, 2005. The primary taxonomy on file is Primary Podiatric Medicine Podiatrist (213EP1101X), and the practice location is in Oceanside, NY. The record was last updated on May 6, 2010.