Individual
DR. KRISTIN SARAH BALTAZAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
200 NORTH ST, SUITE 304, GENEVA, NY 14456-1561
(315) 787-5383
Mailing address
6336 CANDLE LIGHT RUN, VICTOR, NY 14564-9592
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
60 261346
NY
Other
Enumeration date
08/15/2008
Last updated
10/24/2011
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