| NPI | 1386484947 |
|---|---|
| Doing Business As | STARMED CLINIC |
| Entity Type | Organization |
| Authorized Contact | DERRICK E. RANDDOLF Authorized Official 917-562-5727 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2024-05-30 |
| Last Update Date | 2024-05-30 |