Starosta, Anatoly
Starosta, Anatoly is an individual health care provider with primary practice located at 1704 Mermaid Ave , Brooklyn NY 11224-2622. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Starosta, Anatoly can be contacted via phone (718) 265-0900.Contact Information
Primary practice address
1704 Mermaid Ave
Brooklyn NY 11224-2622
Phone: (718) 265-0900
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 018716 | New York |
Profile Details
| NPI number | 1205896040 |
|---|---|
| LBN Legal business name | Starosta, Anatoly |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 24th, 2006 |
| Last updated | Apr 9th, 2010 - about 15 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1205896040 | NPPES |
| New York | MEDICAID | 02193199 |
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