Healthcare Provider Details

I. General information

NPI: 1255337424
Provider Name (Legal Business Name): SEYMOUR KATZ M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/22/2005
Last Update Date: 06/20/2024
Certification Date: 06/20/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1000 NORTHERN BLVD STE 140
GREAT NECK NY
11021-5312
US

IV. Provider business mailing address

19 AVON LN
ROSLYN HEIGHTS NY
11577-1526
US

V. Phone/Fax

Practice location:
  • Phone: 516-466-2340
  • Fax: 516-829-6421
Mailing address:
  • Phone: 516-484-2143
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code174400000X
TaxonomySpecialist
License Number094408
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code207RG0100X
TaxonomyGastroenterology Physician
License Number094408
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: