Active NPIIndividual provider

Ms. Mary E Stark, RN

Registered Nurse in Goshen, New York

NPI Number1255413944
Practice location
30 Harriman Drive, Goshen, NY 10924
Fax
845-858-2628
Last updated
July 8, 2007

Mary E Stark is a Registered Nurse based in Goshen, NY. Mary E Stark practices in Goshen, NY and has the professional credentials of RN. The NPI Number for Mary E Stark is 1255413944 and holds a License No. 325079 (NY). The current practice location address for Mary E Stark is 30 Harriman Drive, Goshen, NY 10924 and can be reached out via phone at 845-858-2600 and via fax at 845-858-2628.

Provider Profile Details

NPI Number
1255413944
Provider Name
Mary E Stark
Credential
RN
Provider Entity Type
Individual
Gender
Female
Address
30 Harriman Drive, Goshen, NY 10924
Phone Number
845-858-2600
Fax Number
845-858-2628
Primary Taxonomy
Registered Nurse · 163W00000X
Sole Proprietor
No
Provider Enumeration Date
October 20, 2006
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
30 Harriman Drive
Goshen, NY 10924
City
Goshen
Zip
10924
Phone Number
845-858-2600
Fax Number
845-858-2628
Goshen, NY 10924Get directions →

Provider Business Mailing Address Details

Address
146 Pike Street
Port Jervis, NY 12771
City
Port Jervis
State
NY
Zip
12771
Phone Number
845-858-1456
Fax Number
845-858-1459

License Information

License Number
325079
License State
NY
Taxonomy
Registered Nurse · 163W00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Ms. Mary E Stark, RN?

The NPI number of Ms. Mary E Stark, RN is 1255413944. It was assigned on October 20, 2006 and is currently active in the NPPES registry.

What is the specialty of Ms. Mary E Stark, RN?

Ms. Mary E Stark, RN is registered under the primary taxonomy Registered Nurse (code 163W00000X), licensed in NY under license number 325079.

Where does Ms. Mary E Stark, RN practice?

The practice location is 30 Harriman Drive, Goshen, NY 10924. The office can be reached at 845-858-2600 (phone) or 845-858-2628 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1255413944 directly on the NPPES registry website.

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