Provider Demographics
NPI:1972818797
Name:STARTERI, JOSHUA K (NP)
Entity Type:Individual
Prefix:
First Name:JOSHUA
Middle Name:K
Last Name:STARTERI
Suffix:
Gender:M
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:213 PYRAMID PINES EST
Mailing Address - Street 2:
Mailing Address - City:SARATOGA SPRINGS
Mailing Address - State:NY
Mailing Address - Zip Code:12866-9439
Mailing Address - Country:US
Mailing Address - Phone:518-879-5719
Mailing Address - Fax:
Practice Address - Street 1:213 PYRAMID PINES EST
Practice Address - Street 2:
Practice Address - City:SARATOGA SPRINGS
Practice Address - State:NY
Practice Address - Zip Code:12866-9439
Practice Address - Country:US
Practice Address - Phone:518-879-5719
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-08-17
Last Update Date:2021-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY612548163W00000X, 163WH0200X
NY347795363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse
No163WH0200XNursing Service ProvidersRegistered NurseHome Health