Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KRISTIN ANN PROTOSOW, OPTOMETRIST, OD
Active Sole ProprietorKRISTIN ANN PROTOSOW, OPTOMETRIST, OD is a Low Vision Rehabilitation Optometrist healthcare provider located in RONKONKOMA, New York. NPI 1063688547 is currently active in the NPPES registry. Verify at CMS.
Low Vision Rehabilitation Optometrist · RONKONKOMA, NY
Registration Details
- NPI Number
- 1063688547
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 5, 2008 (18.311718888252 yrs)
- Last Updated
- Nov 18, 2011
- License
-
TUV007254-1 (NY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
624 HAWKINS AVESUITE 1RONKONKOMA, NY, 117792375Browse NY providers · Browse ZIP 11779
- Phone
- 6315885100
- Fax
- 6315885185
- Primary Specialty
-
Low Vision Rehabilitation Optometrist
152WL0500X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.