Provider Demographics
NPI:1457372922
Name:STARKE, CHARLES L (MD)
Entity Type:Individual
Prefix:DR
First Name:CHARLES
Middle Name:L
Last Name:STARKE
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:14 CHURCH ST
Mailing Address - Street 2:SUITE 200
Mailing Address - City:OSSINING
Mailing Address - State:NY
Mailing Address - Zip Code:10562-4831
Mailing Address - Country:US
Mailing Address - Phone:914-923-9414
Mailing Address - Fax:914-923-9412
Practice Address - Street 1:302 CHAPPAQUA RD
Practice Address - Street 2:
Practice Address - City:BRIARCLIFF
Practice Address - State:NY
Practice Address - Zip Code:10510-1354
Practice Address - Country:US
Practice Address - Phone:914-762-4460
Practice Address - Fax:914-762-4478
Is Sole Proprietor?:No
Enumeration Date:2006-07-21
Last Update Date:2023-03-07
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY132891207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY132891OtherNY STATE LICENSE
1457372922OtherNPI
NY00737031Medicaid
NYAS8277851OtherDEA #
66A471ANN71Medicare PIN
NY00737031Medicaid