Provider Demographics
NPI:1598030454
Name:STARACE, DEVI (REGISTERED NURSE)
Entity Type:Individual
Prefix:MS
First Name:DEVI
Middle Name:
Last Name:STARACE
Suffix:
Gender:F
Credentials:REGISTERED NURSE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:211 THROOP AVE
Mailing Address - Street 2:ROOM 128
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11206-5701
Mailing Address - Country:US
Mailing Address - Phone:718-919-9636
Mailing Address - Fax:
Practice Address - Street 1:211 THROOP AVE
Practice Address - Street 2:ROOM 128
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11206-5701
Practice Address - Country:US
Practice Address - Phone:718-919-9636
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-03-12
Last Update Date:2012-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY580059-1163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse