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NPI Code Detail

MEDICARE: JANE J KATZ RN

MEDICARE: JANE J KATZ RN
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
1163W00000XRegistered Nurse675884-1NY

General Provider Information

NPI Number : 1538699111
Entity Type Code : Individual
Provider Name (Legal Business Name) : JANE J KATZ RN
Provider Business Mailing Address
First Line : 141 JEFFERSON ST
Second Line :
City : INWOOD
State : NY
Zip : 11096-2109
Country : US
Telephone Number : 631-355-5433
Fax Number :
Provider Business Practice Location Address
First Line : 6214 24TH AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11204-3319
Country : US
Telephone Number : 631-355-5433
Fax Number : 631-355-5433
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/15/2017
Last Update Date : 06/15/2017

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