Search › New York › 213EP1101X
Jeffrey Stark, D.P.M
NPI 1114922994 · on the registry since 2005 · sole proprietor
Practice
- Address
- 1 Duncan Pl
Oceanside, NY 11572 - Phone
- (516) 764-3500
- Fax
- (516) 536-4236
- Organisation at this address
- Jeffrey M Stark, Dpm
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 213EP1101X
213EP1101X
- Also registered as
- 213ES0103X
- Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2010-05-06
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York