Doctor Name: | GERALDINE STARK |
NPI Number: | 1063790962 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT |
License Number: | 003660-1 |
Business Practice Address: | 100 High St D3, Rm 536 Buffalo, NY - 142031126 |
Business Phone Number: | 7168591518 |
Business Fax Number: | |
Mailing Address: | 100 High St, D3, Rm 536 BUFFALO |
State: | NY |
Postal Code: | 142031126 |
Phone Number: | 7168591518 |
Fax Number: | |
NPI Enumeration Date: | 07/26/2011 |
NPI Last Update Date: | 07/26/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 003660-1 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |