MEDICARE: DR. VICTORIA KATZ MD

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	207RR0500X	Rheumatology Physician	225323	NY

General Provider Information

NPI Number	:	1508818212
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. VICTORIA KATZ MD

Provider Business Mailing Address
First Line	:	1725 E 12TH ST
Second Line	:	STE 101
City	:	BROOKLYN
State	:	NY
Zip	:	11229-1068
Country	:	US
Telephone Number	:	718-375-2300
Fax Number	:	718-513-6322

Provider Business Practice Location Address
First Line	:	1664 E 14TH ST
Second Line	:	SUITE 401
City	:	BROOKLYN
State	:	NY
Zip	:	11229-1155
Country	:	US
Telephone Number	:	718-375-2300
Fax Number	:	718-513-6322

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

Provider Enumeration Date	:	05/17/2006
Last Update Date	:	12/03/2018

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