Provider Demographics
NPI:1285919399
Name:STARLING, DOROTHY (PA)
Entity type:Individual
Prefix:
First Name:DOROTHY
Middle Name:
Last Name:STARLING
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
Other - First Name:DOROTHY
Other - Middle Name:ANN
Other - Last Name:GILBERTSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PA
Mailing Address - Street 1:137 HOOSICK ST
Mailing Address - Street 2:
Mailing Address - City:TROY
Mailing Address - State:NY
Mailing Address - Zip Code:12180-2323
Mailing Address - Country:US
Mailing Address - Phone:518-274-4305
Mailing Address - Fax:
Practice Address - Street 1:137 HOOSICK ST
Practice Address - Street 2:
Practice Address - City:TROY
Practice Address - State:NY
Practice Address - Zip Code:12180-2323
Practice Address - Country:US
Practice Address - Phone:518-274-4305
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-10-20
Last Update Date:2022-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5601006932363A00000X
NY014987-1363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical
No363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant