Individual
KATERINA GINBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
12073 FLATLANDS AVE, BROOKLYN, NY 11207-8306
(718) 257-7700
(718) 257-7704
Mailing address
419 FAWNS RUN, MORGANVILLE, NJ 07751-4403
(917) 945-5636
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TUV006809
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02642024
—
NY
Enumeration date
09/28/2006
Last updated
03/25/2015
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