Provider Demographics
NPI:1467480616
Name:STARR, MICHAEL B
Entity Type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:B
Last Name:STARR
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 1:67 E 78TH ST
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10075-0273
Mailing Address - Country:US
Mailing Address - Phone:212-717-0222
Mailing Address - Fax:212-717-0226
Practice Address - Street 1:67 E 78TH ST
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10021-0204
Practice Address - Country:US
Practice Address - Phone:212-717-0222
Practice Address - Fax:212-717-0226
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-28
Last Update Date:2010-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY116374207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology