Provider Demographics
NPI:1295835585
Name:STARLING-DOTY, KRISTIN K (DPT)
Entity type:Individual
Prefix:MRS
First Name:KRISTIN
Middle Name:K
Last Name:STARLING-DOTY
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:111 SUNSET TRL
Mailing Address - Street 2:
Mailing Address - City:QUEENSBURY
Mailing Address - State:NY
Mailing Address - Zip Code:12804-6714
Mailing Address - Country:US
Mailing Address - Phone:518-369-1675
Mailing Address - Fax:
Practice Address - Street 1:111 SUNSET TRL
Practice Address - Street 2:
Practice Address - City:QUEENSBURY
Practice Address - State:NY
Practice Address - Zip Code:12804-6714
Practice Address - Country:US
Practice Address - Phone:518-369-1675
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-09-25
Last Update Date:2024-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY028103-1225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00752456Medicaid