Healthcare Provider Details

I. General information

NPI: 1376522102
Provider Name (Legal Business Name): ALEKS KATZ DPM
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/11/2006
Last Update Date: 08/14/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1009 BRIGHTON BEACH AVE STE 304
BROOKLYN NY
11235
US

IV. Provider business mailing address

458 NEPTUNE AVE APT 10D
BROOKLYN NY
11224-4318
US

V. Phone/Fax

Practice location:
  • Phone: 718-552-2526
  • Fax:
Mailing address:
  • Phone: 718-820-3117
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213ES0131X
TaxonomyFoot Surgery Podiatrist
License NumberN006137-1
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: