Healthcare Provider Details

I. General information

NPI: 1700948650
Provider Name (Legal Business Name): ALVIN KATZ M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/15/2006
Last Update Date: 04/07/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

45 E 72ND ST SUITE 1A
NEW YORK NY
10021-4148
US

IV. Provider business mailing address

45 E 72ND ST SUITE 1A
NEW YORK NY
10021-4148
US

V. Phone/Fax

Practice location:
  • Phone: 212-879-3292
  • Fax: 212-988-2507
Mailing address:
  • Phone: 212-879-3292
  • Fax: 212-988-2507

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Y00000X
TaxonomyOtolaryngology Physician
License Number092277
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: