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1811014376
EILEEN M. STARK
NEW YORK, NY
NPI
1811014376
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0200X Nurse Practitioner, Pediatrics
(Licence: NY 381742)
Enumeration Date
2007-03-22
Last Update Date
2007-07-08
Business Address
Ms. EILEEN M. STARK PNP
161 FORT WASHINGTON AVE FL 7
NEW YORK, NY 10032-3729
Phone number: 212-305-9246
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Mailing Address
Ms. EILEEN M. STARK PNP
25 HOFFMAN ST
MAPLEWOOD, NJ 07040-1138
Phone number: 973-378-8244
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