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Jeffrey M Stark, Dpm
Foot & Ankle Surgery Podiatrist in Oceanside, New York
NPI 1194891424

Jeffrey M Stark, Dpm is a Foot & Ankle Surgery Podiatrist based in Oceanside, NY and is specialized in Foot & Ankle Surgery. Jeffrey M Stark, Dpm practices in Oceanside, NY. The NPI Number for Jeffrey M Stark, Dpm is 1194891424 and holds a License No. N003165-1 (New York).

The current practice location address for Jeffrey M Stark, Dpm is 1 Duncan Pl, Oceanside, NY and can be reached out via phone at 516-765-3500 and via fax at 516-536-4236.

Location: 1 Duncan Pl, Oceanside, NY, 11572-1306
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1194891424
Provider Name
Jeffrey M Stark, Dpm
Credential
Provider Entity Type
Organization
Address
1 Duncan Pl, Oceanside, NY, 11572-1306
Phone Number
516-765-3500
Fax Number
516-536-4236
Provider Enumeration Date
11/28/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00490042 05 NY
institution
Provider Business Practice Location Address Details
Address
1 Duncan Pl
City
Oceanside
State
New York
Zip
11572-1306
Phone Number
516-765-3500
Fax Number
516-536-4236
person
Provider Business Mailing Address Details
Address
1 Duncan Pl
City
Oceanside
State
New York
Zip
11572-1306
Phone Number
516-765-3500
Fax Number
516-536-4236
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot & Ankle Surgery
Taxonomy
213ES0103X
License No.
N003165-1 (New York)
Definition
Definition to come...
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