Provider Demographics
NPI:1982238366
Name:STARLING, JOHN M
Entity type:Individual
Prefix:
First Name:JOHN
Middle Name:M
Last Name:STARLING
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6127 NYS ROUTE 28
Mailing Address - Street 2:
Mailing Address - City:INDIAN LAKE
Mailing Address - State:NY
Mailing Address - Zip Code:12842-2101
Mailing Address - Country:US
Mailing Address - Phone:518-648-5765
Mailing Address - Fax:
Practice Address - Street 1:6127 NYS ROUTE 28
Practice Address - Street 2:
Practice Address - City:INDIAN LAKE
Practice Address - State:NY
Practice Address - Zip Code:12842-2101
Practice Address - Country:US
Practice Address - Phone:518-648-5765
Practice Address - Fax:518-648-0111
Is Sole Proprietor?:Yes
Enumeration Date:2020-02-25
Last Update Date:2020-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)