Van Valkenburg, Kathleen R

Van Valkenburg, Kathleen R is an sole proprietor health care provider with primary practice located at 260 E Middle Country Rd Suite 201, Smithtown NY 11787-2982. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Ophthalmology. Allopathic & Osteopathic Physicians / Ophthalmology is her primary health care specialty. Van Valkenburg, Kathleen R can be contacted via phone (631) 265-8780.

Contact Information

Primary practice address
260 E Middle Country Rd Suite 201 Smithtown NY 11787-2982
Phone: (631) 265-8780
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 176461 New York
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 176461 New York

Profile Details

NPI number 1316037369
LBN Legal business name Van Valkenburg, Kathleen R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 13th, 2006
Last updated Dec 14th, 2016 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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