National Provider Identifier

Elizabeth R Star

Elizabeth R Star is listed in the NPPES registry with a primary specialty of Student in an Organized Health Care Education/Training Program in Fairport, NY and a listed phone number of (585) 377-2230.

NPI 1467289124Fairport, NYStudent in an Organized Health Care Education/Training Program

Profile Overview

NPI
1467289124
Provider Type
Individual
Primary Specialty
Student in an Organized Health Care Education/Training Program
Enumeration Date
September 17, 2024
Last Updated
September 17, 2024

Practice Location

  • 149 N Main St
  • Fairport, NY 14450-1434

Phone: (585) 377-2230

Specialties

  • Student in an Organized Health Care Education/Training Program (390200000X)
Full Record
NPI
1467289124
Entity Type
Individual
Last Name
Star
First Name
Elizabeth
Middle Name
R
Mailing Street Address
149 N Main St
Mailing City
Fairport
Mailing State
NY
Mailing ZIP Code
14450-1434
Mailing Country
US
Mailing Phone
(585) 377-2230
Mailing Fax
(585) 377-2243
Practice Street Address
149 N Main St
Practice City
Fairport
Practice State
NY
Practice ZIP Code
14450-1434
Practice Country
US
Practice Phone
(585) 377-2230
Practice Fax
(585) 377-2243
Enumeration Date
September 17, 2024
Last Updated
September 17, 2024
Sex
Female
Sole Proprietor
No
Certification Date
September 17, 2024
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Student in an Organized Health Care Education/Training Program (390200000X)