Provider Demographics
NPI:1275850208
Name:STARR, JESSICA RACHEL (MD)
Entity Type:Individual
Prefix:
First Name:JESSICA
Middle Name:RACHEL
Last Name:STARR
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Gender:F
Credentials:MD
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Mailing Address - Street 1:3050 CORLEAR AVENUE
Mailing Address - Street 2:SUITE 204
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10463
Mailing Address - Country:US
Mailing Address - Phone:646-317-0129
Mailing Address - Fax:718-884-8489
Practice Address - Street 1:3050 CORLEAR AVE
Practice Address - Street 2:SUITE 204
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10463-5180
Practice Address - Country:US
Practice Address - Phone:646-317-0129
Practice Address - Fax:718-884-8489
Is Sole Proprietor?:No
Enumeration Date:2010-04-30
Last Update Date:2021-01-26
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Provider Licenses
StateLicense IDTaxonomies
NY263952207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY263592-1OtherNYS LICENCE