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NPI Code Detail

MEDICARE: STACEY KATZ PH.D.

MEDICARE: STACEY KATZ PH.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103TC0700XClinical Psychologist016251NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1225056963
Entity Type Code : Individual
Provider Name (Legal Business Name) : STACEY KATZ PH.D.
Provider Business Mailing Address
First Line : 1 OLD COUNTRY RD
Second Line : SUITE 271
City : CARLE PLACE
State : NY
Zip : 11514-1801
Country : US
Telephone Number : 800-725-6280
Fax Number : 800-725-6380
Provider Business Practice Location Address
First Line : 101 THEALL RD
Second Line :
City : RYE
State : NY
Zip : 10580-1406
Country : US
Telephone Number : 914-925-8200
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/18/2006
Last Update Date : 07/08/2007

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