MEDICARE: DR. FARRAH ANN KATZ AU.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
1	237600000X	Audiologist-Hearing Aid Fitter	14000029931	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	14000029931	OTHER	NY	NEW YORK STATE HEARING AID DISPENSER LICENSE

General Provider Information

NPI Number	:	1306139340
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. FARRAH ANN KATZ AU.D

Provider Business Mailing Address
First Line	:	771 NEW YORK AVE
Second Line	:
City	:	HUNTINGTON
State	:	NY
Zip	:	11743-4221
Country	:	US
Telephone Number	:	631-673-5820
Fax Number	:

Provider Business Practice Location Address
First Line	:	771 NEW YORK AVE
Second Line	:
City	:	HUNTINGTON
State	:	NY
Zip	:	11743-3346
Country	:	US
Telephone Number	:	631-673-5820
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/24/2011
Last Update Date	:	02/26/2016

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