Individual
MISS BRIDGET RUTH STARNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4893 TRANSIT RD, DEPEW, NY 14043-4698
(716) 608-7040
(716) 608-7065
Mailing address
4893 TRANSIT RD, DEPEW, NY 14043-4698
(716) 608-7040
(716) 608-7065
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
025600
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
10/26/2018
Last updated
12/20/2022
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