Organization · Type 2 NPI
Jeffrey M Stark, DPM
Foot & Ankle Surgery Podiatrist · Oceanside, NY
NPI number
1194891424
Active
Practice location
1 Duncan Pl
Oceanside, NY 11572-1306
Fax (516) 536-4236
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Foot & Ankle Surgery Podiatrist Primary | 213ES0103X | N003165-1 (NY) |
Foot & Ankle Surgery Podiatrist: Definition to come...
Another provider at this address
Other foot & ankle surgery podiatrist providers in Oceanside
About NPI 1194891424
Jeffrey M Stark, DPM's National Provider Identifier is 1194891424, issued on Nov 28, 2006. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in Oceanside, NY. The record was last updated on May 8, 2008.