Individual
MRS. KATHLEEN R VAN VALKENBURG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
260 E MIDDLE COUNTRY RD, SUITE 201, SMITHTOWN, NY 11787-2982
(631) 265-8780
Mailing address
520 FRANKLIN AVENUE, SUITE 251, GARDEN CITY, NY 11530
(631) 265-8780
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
176461
NY
207W00000X
Ophthalmology Physician
Primary
176461
NY
Other
Enumeration date
10/13/2006
Last updated
12/14/2016
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