MEDICARE: MR. ELAN KATZ

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	183500000X	Pharmacist	045710-1	NY

General Provider Information

NPI Number	:	1427286202
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. ELAN KATZ

Provider Business Mailing Address
First Line	:	1047 SURF AVE FL 2
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11224-2810
Country	:	US
Telephone Number	:	212-249-8202
Fax Number	:

Provider Business Practice Location Address
First Line	:	1047 SURF AVE FL 2
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11224-2810
Country	:	US
Telephone Number	:	212-249-8202
Fax Number	:

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

Provider Enumeration Date	:	06/30/2009
Last Update Date	:	10/04/2023

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Directions to “ MR. ELAN KATZ ” Practice Location

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