National Provider Identifier

Kristin Sarah Baltazar, M.D.

Kristin Sarah Baltazar, M.D. is listed in the NPPES registry with a primary specialty of Surgery Physician in Geneva, NY and a listed phone number of (315) 787-5383.

NPI 1558517078Geneva, NYSurgery Physician

Profile Overview

NPI
1558517078
Provider Type
Individual
Primary Specialty
Surgery Physician
Enumeration Date
August 15, 2008
Last Updated
October 24, 2011

Practice Location

  • 200 North St
  • Suite 304
  • Geneva, NY 14456-1561

Phone: (315) 787-5383

Mailing Address

  • 6336 Candle Light Run
  • Victor, NY 14564-9592

Specialties

  • Surgery Physician (208600000X)
Full Record
NPI
1558517078
Entity Type
Individual
Last Name
Baltazar
First Name
Kristin
Middle Name
Sarah
Name Prefix
Dr.
Credential
M.D.
Mailing Street Address
6336 Candle Light Run
Mailing City
Victor
Mailing State
NY
Mailing ZIP Code
14564-9592
Mailing Country
US
Practice Street Address
200 North St
Practice Address Line 2
Suite 304
Practice City
Geneva
Practice State
NY
Practice ZIP Code
14456-1561
Practice Country
US
Practice Phone
(315) 787-5383
Enumeration Date
August 15, 2008
Last Updated
October 24, 2011
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Surgery Physician (208600000X)