Provider Demographics
NPI:1285935742
Name:STARR, JOYCE WOOKYUNG (OTR/L)
Entity type:Individual
Prefix:
First Name:JOYCE
Middle Name:WOOKYUNG
Last Name:STARR
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:WOO KYUNG
Other - Middle Name:
Other - Last Name:STARR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1500 ROUTE 208
Mailing Address - Street 2:
Mailing Address - City:WALLKILL
Mailing Address - State:NY
Mailing Address - Zip Code:12589-3712
Mailing Address - Country:US
Mailing Address - Phone:845-895-7100
Mailing Address - Fax:
Practice Address - Street 1:1500 ROUTE 208
Practice Address - Street 2:
Practice Address - City:WALLKILL
Practice Address - State:NY
Practice Address - Zip Code:12589-3712
Practice Address - Country:US
Practice Address - Phone:845-895-7100
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-11-15
Last Update Date:2021-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MADH87369124Q00000X
NY022413225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
No124Q00000XDental ProvidersDental Hygienist