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Mr. Dean Stark
Psychiatric/Mental Health Nurse Practitioner in Syracuse, New York
NPI 1144602905

Dean Stark is a Psychiatric/Mental Health Nurse Practitioner based in Syracuse, NY and is specialized in Psychiatric/Mental Health. Dean Stark practices in Syracuse, NY. The NPI Number for Dean Stark is 1144602905 and holds a License No. 401832 (New York).

The current practice location address for Dean Stark is 329 N Salina St, Syracuse, NY and can be reached out via phone at 315-474-5506.

Location: 329 N Salina St, Syracuse, NY, 13203-1127
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1144602905
Provider Name
Dean Stark
Credential
Provider Entity Type
Individual
Gender
Male
Address
329 N Salina St, Syracuse, NY, 13203-1127
Phone Number
315-474-5506
Fax Number
Provider Enumeration Date
06/29/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
329 N Salina St
City
Syracuse
State
New York
Zip
13203-1755
Phone Number
315-474-5506
Fax Number
person
Provider Business Mailing Address Details
Address
329 N Salina St
City
Syracuse
State
New York
Zip
13203-1755
Phone Number
315-474-5506
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
363LP0808X
License No.
401832 (New York)
Definition
Definition to come...
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