Individual
CATHERINE CORINA VIOLET GERONTIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
58 VANDERBILT MOTOR PKWY STE 300, COMMACK, NY 11725-5724
(631) 439-5440
Mailing address
PO BOX 595, COMMACK, NY 11725-0595
(631) 439-0946
(631) 439-5447
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
188154
NY
207WX0110X
Pediatric Ophthalmology and Strabismus Specialist Physician
188154
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0401751
GHI
—
01
—
112658697
JJ NEW/USI
—
01
—
113547507
EMPIRE
—
01
—
188154A27
HEALTHFIRST
—
01
—
2436110
AETNA
—
01
—
27626
ANTHEM
—
01
—
2C8244
HEALTH NET
—
01
—
31160P
HIP HEALTH CARE PARTNERS
—
01
—
48Z811
BLUE CROSS/CHILD
—
01
—
8209571002
CIGNA HMO
—
01
—
GC8154
ATLANTIS
—
Enumeration date
07/22/2005
Last updated
04/20/2020
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