Individual
DR. KATHERINE A. BALTIS LEVY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
10 GARET PL, COMMACK, NY 11725-5421
(631) 462-8562
Mailing address
812 ABERDEEN RD, BAY SHORE, NY 11706-7709
(631) 969-7916
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
VUT005731
NY
Other
Enumeration date
05/14/2008
Last updated
05/14/2008
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