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NPI 1144398850

NPI 1144398850 : CRAIG LAWRENCE KATZ M.D. : NEW YORK, NY

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General NPI Number Information
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    NPI Number           |    1144398850
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    Entity Type          |    Individual 
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    Provider Name        |    CRAIG LAWRENCE KATZ M.D.
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    12/01/2006
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    Last Update Date     |    07/08/2007
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Provider Practice Location Address
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    Address Line         |    1100 PARK AVE STE 1B 
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    City                 |    NEW YORK
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    State                |    NY
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    Zip                  |    10128-1202
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    Country              |    US
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    Telephone            |    212-860-8665
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    Fax                  |    212-860-3002
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Provider Business Mailing Address
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    Address Line         |    2727 PALISADE AVE 6D
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    City                 |    BRONX
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    State                |    NY
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    Zip                  |    10463-1018
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    Country              |    US
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    Telephone            |    347-427-4210
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    Fax                  |    212-860-3002
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    2084P0800X
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    Taxonomy Name        |    Psychiatry Physician
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    License Number       |    203380
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    License Number State |    NY
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