Provider Demographics
NPI:1528083482
Name:STARNES, HAL FLETCHER JR (MD)
Entity type:Individual
Prefix:DR
First Name:HAL
Middle Name:FLETCHER
Last Name:STARNES
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:381 CHURCH ST
Mailing Address - Street 2:
Mailing Address - City:SARATOGA SPRINGS
Mailing Address - State:NY
Mailing Address - Zip Code:12866-8626
Mailing Address - Country:US
Mailing Address - Phone:518-581-1100
Mailing Address - Fax:518-581-0233
Practice Address - Street 1:381 CHURCH ST
Practice Address - Street 2:
Practice Address - City:SARATOGA SPRINGS
Practice Address - State:NY
Practice Address - Zip Code:12866-8626
Practice Address - Country:US
Practice Address - Phone:518-581-1100
Practice Address - Fax:518-581-0233
Is Sole Proprietor?:No
Enumeration Date:2006-07-13
Last Update Date:2019-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01319731Medicaid
NY01319731Medicaid
NY56438BMedicare ID - Type Unspecified