Most Relevant Information
Provider Data
| NPI Number: | 1003422205 |
| Provider Name: | DANIELLE STARK RDN, CDN |
| Entity Type: | Individual |
| Taxonomy Code: | 133V00000X |
| Specialty: | Dietitian, Registered |
| License Number: |
Most Important Dates
| Enumeration Date: | 09/22/2020 |
| Last Updated: | 09/22/2020 |
Provider Practice Location
205 W 88TH ST APT 6D
NEW YORK
NY
100242348
Practice Location Phone/Fax
| Phone: | 9739540666 |
| Fax: |
Provider Mailing Location
205 W 88TH ST APT 6D
NEW YORK
NY
100242348
Provider Mailing Phone/Fax
| Phone: | 9739540666 |
| Fax: |