Provider Demographics
NPI:1558803742
Name:STARLING, DANIELLE
Entity Type:Individual
Prefix:
First Name:DANIELLE
Middle Name:
Last Name:STARLING
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:95 LINDEN BLVD
Mailing Address - Street 2:APT 61A
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11226-3311
Mailing Address - Country:US
Mailing Address - Phone:917-548-8097
Mailing Address - Fax:
Practice Address - Street 1:95 LINDEN BLVD
Practice Address - Street 2:APT 61A
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11226-3311
Practice Address - Country:US
Practice Address - Phone:917-548-8097
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-11-06
Last Update Date:2016-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY341210363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily