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Contact Information

EDWARD STARK, MD
355 W 52ND ST
NEW YORK, NY10019-6239
 Phone: 646-754-2100
 Fax: 646-754-2148
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Urology

208800000X 34 Physician/Urology
Indicates primary specialty

NPI Profile & details for EDWARD STARK · (Male)

NPI Number 1093727166
Status Active
Credentials MD
Entity Individual
Enumeration date 08/13/2006
Last updated 10/15/2024 - More than a year ago
Sole proprietor 1 No
Identifiers
  • GA License # 041680
  • NY License # 179696
  • GA Medicaid 000707891G
  • GA Other 340015407 RAILROAD MEDICARE
Hospital affiliation(s)
  • EMORY EASTSIDE MEDICAL CENTER - (Acute Care)
    1700 MEDICAL WAY
    SNELLVILLE, GA 30078
  • GWINNETT MEDICAL CENTER - (Acute Care)
    1000 MEDICAL CENTER BOULEVARD
    LAWRENCEVILLE, GA 30045
  • NORTHSIDE HOSPITAL - (Acute Care)
    1000 JOHNSON FERRY ROAD, NE
    ATLANTA, GA 30342
  • NORTHSIDE HOSPITAL FORSYTH - (Acute Care)
    1200 NORTHSIDE FORSYTH DRIVE
    CUMMING, GA 30041
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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