Provider Demographics
NPI:1881283133
Name:NORTHERN STAR MEDICAL BILLING & COLLECTIONS
Entity type:Organization
Organization Name:NORTHERN STAR MEDICAL BILLING & COLLECTIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF OCCUPATIONAL MEDICINE
Authorized Official - Prefix:MS
Authorized Official - First Name:MONIQUE
Authorized Official - Middle Name:M
Authorized Official - Last Name:KING
Authorized Official - Suffix:
Authorized Official - Credentials:MRO-A
Authorized Official - Phone:585-359-3200
Mailing Address - Street 1:60 FINN RD STE A
Mailing Address - Street 2:
Mailing Address - City:HENRIETTA
Mailing Address - State:NY
Mailing Address - Zip Code:14467-9391
Mailing Address - Country:US
Mailing Address - Phone:585-359-3200
Mailing Address - Fax:585-321-0081
Practice Address - Street 1:60 FINN RD STE A
Practice Address - Street 2:
Practice Address - City:HENRIETTA
Practice Address - State:NY
Practice Address - Zip Code:14467-9391
Practice Address - Country:US
Practice Address - Phone:585-359-3200
Practice Address - Fax:585-321-0081
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-01-12
Last Update Date:2021-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QX0100XAmbulatory Health Care FacilitiesClinic/CenterOccupational Medicine