MEDICARE: ALAN J KATZ MD

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	2085R0001X	Radiation Oncology Physician	134723	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	:	1366486029
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALAN J KATZ MD

Provider Business Mailing Address
First Line	:	145 OVERLOOK AVE
Second Line	:
City	:	GREAT NECK
State	:	NY
Zip	:	11021-3830
Country	:	US
Telephone Number	:	516-426-1386
Fax Number	:	732-387-2629

Provider Business Practice Location Address
First Line	:	21 W BROADWAY
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10007-2170
Country	:	US
Telephone Number	:	516-426-1386
Fax Number	:	732-387-2629

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

Provider Enumeration Date	:	06/15/2006
Last Update Date	:	12/19/2013

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