Healthcare Provider Details

I. General information

NPI: 1720076185
Provider Name (Legal Business Name): CHRISTOPHER STARR MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/10/2005
Last Update Date: 10/11/2023
Certification Date: 10/11/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1305 YORK AVE FL 11
NEW YORK NY
10021-5663
US

IV. Provider business mailing address

1305 YORK AVE ROOM 1133
NEW YORK NY
10021-5663
US

V. Phone/Fax

Practice location:
  • Phone: 646-962-2020
  • Fax:
Mailing address:
  • Phone: 646-962-2020
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License Number228097
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code207WX0120X
TaxonomyCornea and External Diseases Specialist Physician
License Number228097
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: