Protosow, Kristin Ann

Protosow, Kristin Ann is an sole proprietor health care provider with primary practice located at 624 Hawkins Ave Suite 1, Ronkonkoma NY 11779-2375. She recently has only one registered license in Eye and Vision Services Providers / Low Vision Rehabilitation, which is considered as her primary health care specialty. Protosow, Kristin Ann can be contacted via phone (631) 588-5100.

Contact Information

Primary practice address
624 Hawkins Ave Suite 1 Ronkonkoma NY 11779-2375
Phone: (631) 588-5100
Fax: (631) 588-5185
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Low Vision Rehabilitation 152WL0500X TUV007254-1 New York

Profile Details

NPI number 1063688547
LBN Legal business name Protosow, Kristin Ann
Credentials OPTOMETRIST, OD
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 5th, 2008
Last updated Nov 18th, 2011 - about 15 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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