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General NPI Number Information
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NPI Number | 1124144985
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Entity Type | Organization
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Legal Business Name | KATZ,RAMCHANDRAN,KUCHTA,PFEFFER,&HASSANKHANI,M.D.,P.C.
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Dates
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Enumeration Date | 03/22/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 160 COMMACK RD LL1
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City | COMMACK
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State | NY
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Zip | 11725-3412
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Country | US
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Telephone | 631-499-4233
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Fax | 631-499-3856
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Provider Business Mailing Address
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Address Line | 160 COMMACK RD LL1
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City | COMMACK
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State | NY
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Zip | 11725-3412
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Country | US
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Telephone | 631-499-4233
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Fax | 631-499-3856
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. LOUIS KATZ
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Credential | M.D.
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Telephone | 631-499-4233
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 51011442
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License Number State | NY
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