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Dr. Raymond Stark
Neonatal-Perinatal Medicine Physician in New York, New York
NPI 1366415358

Raymond Stark is a Neonatal-Perinatal Medicine Physician based in New York, NY and is specialized in Neonatal-Perinatal Medicine. Raymond Stark practices in New York, NY. The NPI Number for Raymond Stark is 1366415358 and holds a License No. 116955 (New York).

The current practice location address for Raymond Stark is 3959 Broadway, New York, NY and can be reached out via phone at 212-927-3214 and via fax at 212-544-1974.

Location: 3959 Broadway, New York, NY, 10025-1859
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1366415358
Provider Name
Raymond Stark
Credential
Provider Entity Type
Individual
Gender
Male
Address
3959 Broadway, New York, NY, 10025-1859
Phone Number
212-927-3214
Fax Number
212-544-1974
Provider Enumeration Date
02/09/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
5998301 01 NJ NEW JERSEY MEDICAID
00708452 05 NY
institution
Provider Business Practice Location Address Details
Address
3959 Broadway
City
New York
State
New York
Zip
10032
Phone Number
212-927-3214
Fax Number
212-544-1974
person
Provider Business Mailing Address Details
Address
3959 Broadway
City
New York
State
New York
Zip
10032
Phone Number
212-927-3214
Fax Number
212-544-1974
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Pediatrics
Speciality
Neonatal-Perinatal Medicine
Taxonomy
2080N0001X
License No.
116955 (New York)
Definition
A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.
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