Individual provider · Type 1 NPI
Mary Jo Stark
Emergency Registered Nurse · Riverhead, NY
NPI number
1437056082
Active
Practice location
1300 Roanoke Ave
Riverhead, NY 11901-2031
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Emergency Registered Nurse Primary | 163WE0003X | 418506 (NY) |
Emergency Registered Nurse: Definition to come...
95 other providers at this address
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About NPI 1437056082
Mary Jo Stark's National Provider Identifier is 1437056082, issued on Oct 26, 2026. The primary taxonomy on file is Emergency Registered Nurse (163WE0003X), and the practice location is in Riverhead, NY. The record was last updated on Oct 26, 2026.