Dr. Clifford Stark
Family Doctor - Sports Medicine
30 W 24th St Fl 2
New York
, New York 10010-3560
Dr. Clifford Stark
Family Doctor - Sports Medicine
30 W 24th St Fl 2
New York
, New York 10010-3560
(212) 366-6275
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About
Features
Specialties
- Family Doctor - Sports Medicine
Languages spoken
- English
Location
First Address
- Dr. Clifford Stark
- 30 W 24th St Fl 2
- New York, NY
- Zip : 10010-3560
- Fax : (212) 366-6275
- Phone : (212) 366-5100
Second Address
- Dr. Clifford Stark
- 30 W 24th St Fl 2
- New York, NY
- Zip : 10010-3560
- Fax : (212) 366-6275
- Phone : (212) 366-5100
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207QS0010X | Family Doctor - Sports Medicine | 224735 | NY |
National Provider Identifier
| NPI | 1174564330 |
|---|---|
| Provider Name | Dr. Clifford Stark |
| First Address | New York, NY 10010-3560 |
| Second Address | New York, NY 10010-3560 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 09/06/2006 |
| Last Update Date | 31/08/2020 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| H48841 | (02) | NY |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.