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General NPI Number Information
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NPI Number | 1992758361
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Entity Type | Organization
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Legal Business Name | STARTCARE, INC.
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Dates
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Enumeration Date | 05/18/2006
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Last Update Date | 08/06/2025
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Provider Practice Location Address
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Address Line | 2191 3RD AVE
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City | NEW YORK
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State | NY
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Zip | 10035-3520
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Country | US
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Telephone | 212-348-5650
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Fax | 212-987-3023
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Provider Business Mailing Address
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Address Line | 937 FULTON ST
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City | BROOKLYN
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State | NY
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Zip | 11238-2347
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Country | US
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Telephone | 718-260-2900
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Fax |
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Authorized Official
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Title or Position | CHIEF EXECUTIVE OFFICER
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Name | JONNEL DORIS
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Credential |
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Telephone | 718-260-2933
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | 7001214R
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 261QM2800X
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Taxonomy Name | Methadone Clinic
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License Number | 060510355
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 261QR0405X
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Taxonomy Name | Substance Use Disorder Rehabilitation Clinic/Center
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License Number |
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License Number State |
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