Healthcare Provider Details

I. General information

NPI: 1306896816
Provider Name (Legal Business Name): STARTCARE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/12/2006
Last Update Date: 08/06/2025
Certification Date: 08/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

494 DUMONT AVENUE
BROOKLYN NY
11207
US

IV. Provider business mailing address

937 FULTON ST
BROOKLYN NY
11238-2347
US

V. Phone/Fax

Practice location:
  • Phone: 718-385-4000
  • Fax: 718-385-4233
Mailing address:
  • Phone: 718-260-2900
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number7001214R
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code261QM2800X
TaxonomyMethadone Clinic
License Number060510357
License Number StateNY
# 3
Primary TaxonomyY
Taxonomy Code261QR0405X
TaxonomySubstance Use Disorder Rehabilitation Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: JONNEL DORIS
Title or Position: CHIEF EXECUTIVE OFFICER
Credential:
Phone: 718-260-2933