Provider Demographics
NPI:1215199666
Name:STELMACH-LANKAMER, KINGA (OD)
Entity Type:Individual
Prefix:DR
First Name:KINGA
Middle Name:
Last Name:STELMACH-LANKAMER
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:221 BEACH 80TH ST APT 2G
Mailing Address - Street 2:
Mailing Address - City:ROCKAWAY BEACH
Mailing Address - State:NY
Mailing Address - Zip Code:11693-2005
Mailing Address - Country:US
Mailing Address - Phone:646-479-3664
Mailing Address - Fax:
Practice Address - Street 1:221 BEACH 80TH ST APT 2G
Practice Address - Street 2:
Practice Address - City:ROCKAWAY BEACH
Practice Address - State:NY
Practice Address - Zip Code:11693-2005
Practice Address - Country:US
Practice Address - Phone:646-479-3664
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-06-26
Last Update Date:2008-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYTUV007296-1152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist