Healthcare Provider Details

I. General information

NPI: 1346553799
Provider Name (Legal Business Name): ALVIN KATZ MD PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/14/2010
Last Update Date: 07/14/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

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

IV. Provider business mailing address

45 E 72ND ST 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 TaxonomyN
Taxonomy Code302F00000X
TaxonomyExclusive Provider Organization
License Number092277
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code302F00000X
TaxonomyExclusive Provider Organization
License NumberMA21932
License Number StateNJ

VIII. Authorized Official

Name: DR. ALVIN KATZ
Title or Position: OWNER
Credential: MD
Phone: 212-879-3292