MEDICARE: MR. LEO F KATZ

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	237700000X	Hearing Instrument Specialist	14000003577	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1124039920
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. LEO F KATZ

Provider Business Mailing Address
First Line	:	4 GREEN ST
Second Line	:
City	:	HUNTINGTON
State	:	NY
Zip	:	11743-3346
Country	:	US
Telephone Number	:	631-673-5820
Fax Number	:	631-673-5825

Provider Business Practice Location Address
First Line	:	4 GREEN ST
Second Line	:
City	:	HUNTINGTON
State	:	NY
Zip	:	11743-3346
Country	:	US
Telephone Number	:	631-673-5820
Fax Number	:	631-673-5825

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/10/2006
Last Update Date	:	07/08/2007

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Directions to “ MR. LEO F KATZ ” Practice Location

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