Stark, Garry H
Stark, Garry H is an sole proprietor health care provider with primary practice located at 2035 Lakeville Rd Suite 101, New Hyde Park NY 11040-1661. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Stark, Garry H can be contacted via phone (516) 328-9797.Contact Information
Primary practice address
2035 Lakeville Rd Suite 101
New Hyde Park NY 11040-1661
Phone: (516) 328-9797
Fax: (516) 352-6579
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 158466 | New York |
Profile Details
NPI number | 1316973506 |
---|---|
LBN Legal business name | Stark, Garry H |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jun 23rd, 2006 |
Last updated | Nov 4th, 2010 - about 14 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1316973506 | NPPES |
New York | MEDICAID | 01722870 |
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