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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. JEFFREY HOWARD STARK, DPM

Active Sole Proprietor

DR. JEFFREY HOWARD STARK, DPM is a Podiatrist healthcare provider located in GLENDALE, New York. NPI 1124112255 is currently active in the NPPES registry. Verify at CMS.

Podiatrist · GLENDALE, NY

Registration Details

NPI Number
1124112255
Provider Type
Individual
Gender
Male
NPI Issued
Oct 3, 2006 (19.906803366648 yrs)
Last Updated
Nov 7, 2013
License
N004970 (NY)
Sole Proprietor
Yes

Practice Information

Address
6216 MYRTLE AVE
GLENDALE, NY, 113856236
Browse NY providers · Browse ZIP 11385
Phone
7188212161
Fax
7188211252
Primary Specialty
Podiatrist
213E00000X

Other Podiatrist Providers in GLENDALE, NY

Name Credential NPI
DR. MARC JEFFREY FEDERBUSCH D.P.M. 1376515833
DR. MARC ALAN BRENNER D.P.M. 1093899734
SPYROS TSOUMPARIOTIS DPM 1417032863
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.