# STAR PT

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1093261778
- **Authorized official:** ANDY PAKTER (PHYSICAL THERAPIST)
- **Authorized official phone:** (773) 750-7980

## Contact information

- **Practice address:** 7 PALM RD, BAY SHORE, NY 11706-6710
- **Practice address phone:** (773) 750-7980
- **Mailing address:** 7 PALM RD, BAY SHORE, NY 11706-6710

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 302R00000X | Health Maintenance Organization | — | NULL | Yes |

## Other

- **Enumeration date:** 08/31/2016
- **Last updated:** 08/31/2016