National Provider Identifier

Geraldine Stark, PT

Geraldine Stark, PT is listed in the NPPES registry with a primary specialty of Physical Therapist in Buffalo, NY and a listed phone number of (716) 859-1518.

NPI 1063790962Buffalo, NYPhysical Therapist

Profile Overview

NPI
1063790962
Provider Type
Individual
Primary Specialty
Physical Therapist
Enumeration Date
July 26, 2011
Last Updated
July 26, 2011

Practice Location

  • 100 High St
  • D3, Rm 536
  • Buffalo, NY 14203-1126

Phone: (716) 859-1518

Specialties

  • Physical Therapist (225100000X)
Full Record
NPI
1063790962
Entity Type
Individual
Last Name
Stark
First Name
Geraldine
Credential
PT
Mailing Street Address
100 High St
Mailing Address Line 2
D3, Rm 536
Mailing City
Buffalo
Mailing State
NY
Mailing ZIP Code
14203-1126
Mailing Country
US
Mailing Phone
(716) 859-1518
Practice Street Address
100 High St
Practice Address Line 2
D3, Rm 536
Practice City
Buffalo
Practice State
NY
Practice ZIP Code
14203-1126
Practice Country
US
Practice Phone
(716) 859-1518
Enumeration Date
July 26, 2011
Last Updated
July 26, 2011
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Physical Therapist (225100000X)