Dr Jennifer Stark, DO is a
Plastic Surgery physician based in Woodbury, New York. Dr Jennifer Stark is licensed to practice in New York (license number 303473) and her current practice location is 160 Crossways Park Dr, Woodbury, New York. She can be reached at her office (for appointments etc.) via phone at
(516) 217-8120.
NPI number for Dr Jennifer Stark is 1063763548 and her current mailing address is 160 Crossways Park Dr, Woodbury, New York. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1063763548.
Physician's Profile
| Full Name | Dr Jennifer Stark |
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| Gender | Female |
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| Speciality | Plastic Surgery |
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| Location | 160 Crossways Park Dr, Woodbury, New York |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1063763548
- Provider Enumeration Date: 09/25/2012
- Last Update Date: 04/20/2020
Medical Identifiers
Medical identifiers for Dr Jennifer Stark such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1063763548 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208200000X | Plastic Surgery | 303473 (New York) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Jennifer Stark is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Jennifer Stark, DO
160 Crossways Park Dr,
Woodbury, NY 11797-2028
Ph: (516) 217-8120 | Dr Jennifer Stark, DO
160 Crossways Park Dr,
Woodbury, NY 11797-2028
Ph: (516) 217-8120 |
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