| NPI | 1194891424 |
|---|---|
| Doing Business As | DR. JEFFREY M. STARK, DPM |
| Entity Type | Organization |
| Authorized Contact | JEFFREY M STARK Podiatrist 516-764-3500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: NY N003165-1) |
| Enumeration Date | 2006-11-28 |
| Last Update Date | 2008-05-08 |