Dr. Jeffrey M Stark
Foot & Ankle Surgery Primary Podiatric Medicine
1 Duncan Pl
Oceanside
, New York 11572-1306
Dr. Jeffrey M Stark
Foot & Ankle Surgery Primary Podiatric Medicine
1 Duncan Pl
Oceanside
, New York 11572-1306
(516) 536-4236
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About
Features
Specialties
- Primary Podiatric Medicine
- Foot & Ankle Surgery
Languages spoken
- English
Location
First Address
- Dr. Jeffrey M Stark
- 1 Duncan Pl
- Oceanside, NY
- Zip : 11572-1306
- Fax : (516) 536-4236
- Phone : (516) 764-3500
Second Address
- Dr. Jeffrey M Stark
- 1 Duncan Pl
- Oceanside, NY
- Zip : 11572-1306
- Fax : (516) 536-4236
- Phone : (516) 764-3500
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Is Dr. Jeffrey M Stark a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 213EP1101X | Primary Podiatric Medicine | NOO3165-1 | NY |
| N | 213ES0103X | Foot & Ankle Surgery | N003165-1 | NY |
National Provider Identifier
| NPI | 1114922994 |
|---|---|
| Provider Name | Dr. Jeffrey M Stark |
| First Address | Oceanside, NY 11572-1306 |
| Second Address | Oceanside, NY 11572-1306 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 17/06/2005 |
| Last Update Date | 06/05/2010 |
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.