Individual
KATHERINE ANNA TKACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
6 GREENWAY LN, HUNTINGTON, NY 11743-6012
(631) 834-7715
Mailing address
6 GREENWAY LN, HUNTINGTON, NY 11743-6012
(631) 834-7715
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TUV008751-1
NY
Other
Enumeration date
07/11/2018
Last updated
07/11/2018
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