DEAN STARK

SYRACUSE, NY
NPI1144602905
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: NY  401832)
Enumeration Date2015-06-29
Last Update Date2015-06-29
Business Address
Mr. DEAN STARK
329 N SALINA ST
SYRACUSE, NY 13203-1755
Phone number: 315-474-5506
Mailing Address
Mr. DEAN STARK
104 SCHOECK AVE
SYRACUSE, NY 13203-1127
Phone number: 315-427-6313
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