Provider Demographics
NPI:1124322615
Name:STARR, ESTHER RUTH (DC)
Entity type:Individual
Prefix:DR
First Name:ESTHER
Middle Name:RUTH
Last Name:STARR
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:642 KENNEDY DR
Mailing Address - Street 2:
Mailing Address - City:TOWNSHIP OF WASHINGTON
Mailing Address - State:NJ
Mailing Address - Zip Code:07676-4103
Mailing Address - Country:US
Mailing Address - Phone:201-666-0565
Mailing Address - Fax:
Practice Address - Street 1:205 ROBIN RD. PARAMUS MEDICAL AND REHABILITATION CENTER
Practice Address - Street 2:SUITE 118
Practice Address - City:PARAMUS
Practice Address - State:NJ
Practice Address - Zip Code:07652-3904
Practice Address - Country:US
Practice Address - Phone:201-225-1511
Practice Address - Fax:201-225-9731
Is Sole Proprietor?:Yes
Enumeration Date:2010-12-27
Last Update Date:2013-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ38MC00228600111N00000X
NY3389111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor