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NPI Code Detail

MEDICARE: AYELET C KATZ LCSW

MEDICARE:   AYELET C KATZ  LCSW
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
1104100000XSocial Worker081471-1NY
21041C0700XClinical Social Worker082690NY

General Provider Information

NPI Number : 1285948679
Entity Type Code : Individual
Provider Name (Legal Business Name) : AYELET C KATZ LCSW
Provider Business Mailing Address
First Line : 1042 38TH ST
Second Line :
City : BROOKLYN
State : NY
Zip : 11219-1011
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1042 38TH ST
Second Line :
City : BROOKLYN
State : NY
Zip : 11219-1011
Country : US
Telephone Number : 718-854-2747
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/28/2010
Last Update Date : 11/30/2016

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Directions to “ AYELET C KATZ LCSW” Practice Location

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