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Organization
C CORINA GERONTIS MD PC
Active
Organization
C CORINA GERONTIS MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CATHERINE C GERONTIS MD (MD)
(631) 439-5440
Entity
Organization
Contact information
Practice address
353 VETERANS MEMORIAL HWY, SUITE 101, COMMACK, NY 11725-4233
(631) 439-5440
(631) 439-5447
Mailing address
PO BOX 595, COMMACK, NY 11725-0595
(631) 439-5440
(631) 439-5447
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
NULL
207W00000X
Ophthalmology Physician
Primary
—
—
208000000X
Pediatrics Physician
188154
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01569231
—
NY
Enumeration date
11/02/2006
Last updated
11/23/2010
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