Individual provider · Type 1 NPI

Eileen M. Stark, PNP

Pediatric Nurse Practitioner · New York, NY

NPI number 1811014376 Active

Practice location

161 Fort Washington Ave Fl 7
New York, NY 10032-3729

Fax (212) 030-5584

Mailing address

25 Hoffman St
Maplewood, NJ 07040-1138

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner Primary 363LP0200X381742 (NY)

Pediatric Nurse Practitioner: Definition to come...

5 other providers at this address

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About NPI 1811014376

Eileen M. Stark, PNP's National Provider Identifier is 1811014376, issued on Mar 22, 2007. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in New York, NY. The record was last updated on Jul 8, 2007.