Individual
DR. KAITLYN ELIZABETH GANTWERKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AUD
Contact information
Practice address
430 LAKEVILLE RD, NEW HYDE PARK, NY 11042-1121
(718) 470-8910
Mailing address
10 LEDGEWOOD DR, HUNTINGTON, NY 11743-5159
(631) 848-1217
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
147.001711
IL
Other
Enumeration date
11/07/2019
Last updated
10/04/2022
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