Individual
CATIE ANN THERESA KWAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
19 ROBINSON RD, CLINTON, NY 13323-1418
(315) 853-6090
Mailing address
PO BOX 198, VICTORY MILLS, NY 12884-0198
(518) 441-9489
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
704280
NY
Other
Enumeration date
12/01/2025
Last updated
12/01/2025
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