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Michael Stark, DO
Student in an Organized Health Care Education/Training Program in East Syracuse, New York
NPI 1861984114

Michael Stark is a Student in an Organized Health Care Education/Training Program based in Stratford, NY. Michael Stark practices in East Syracuse, NY and has the professional credentials of DO. The NPI Number for Michael Stark is 1861984114 and holds a License No. (New York).

The current practice location address for Michael Stark is 6620 Fly Rd Ste 100, East Syracuse, NY and can be reached out via phone at 315-464-4472.

Location: 6620 Fly Rd Ste 100, East Syracuse, NY, 08084-1354
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1861984114
Provider Name
Michael Stark
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
6620 Fly Rd Ste 100, East Syracuse, NY, 08084-1354
Phone Number
315-464-4472
Fax Number
Provider Enumeration Date
06/02/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
6620 Fly Rd Ste 100
City
East Syracuse
State
New York
Zip
13057-9791
Phone Number
315-464-4472
Fax Number
person
Provider Business Mailing Address Details
Address
6620 Fly Rd Ste 100
City
East Syracuse
State
New York
Zip
13057-9791
Phone Number
315-464-4472
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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