Michael Stark, DO is a student in an organized health care education training program in East Syracuse, NY. The provider is 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. Michael Stark, DO NPI is 1861984114. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
6620 FLY RD STE 100
EAST SYRACUSE, NY
ZIP 13057-791
Phone: (315) 464-4472
The NPI 1861984114 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 6/2/2018 and was last updated on 4/22/2023.