Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0216X | Pediatric Rheumatologist | G36587 | CA |
NPI | 1720159643 |
---|---|
Provider Name | Amy S. Starr |
First Address | Rockaway Park, NY 11694-1016 |
Second Address | Rockaway Park, NY 11694-1016 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/11/2006 |
Last Update Date | 13/03/2009 |