Individual
MRS. CHARLOTTE LAUREN STARKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
435 E HENRIETTA RD, ROCHESTER, NY 14620-4629
(585) 760-6500
Mailing address
23 KEMP DR, MACEDON, NY 14502-8900
(609) 923-8218
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
308723
NY
Other
Enumeration date
06/20/2018
Last updated
02/07/2022
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