Healthcare Provider Details

I. General information

NPI: 1699356949
Provider Name (Legal Business Name): RENA KATZ DDS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/19/2021
Last Update Date: 06/30/2026
Certification Date: 06/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16 MARTINE AVE
WHITE PLAINS NY
10606-1909
US

IV. Provider business mailing address

3935 BLACKSTONE AVE APT 6F
BRONX NY
10471-3719
US

V. Phone/Fax

Practice location:
  • Phone: 914-635-4445
  • Fax:
Mailing address:
  • Phone: 718-309-8644
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number062674
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: