MEDICARE: STUART D. KATCHIS, M.D., P.C.

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	207XX0004X	Orthopaedic Foot and Ankle Surgery Physician	190026	NY
2	207XX0005X	Sports Medicine (Orthopaedic Surgery) Physician	190026	NY
3	207X00000X	Orthopaedic Surgery Physician	190026	NY

General Provider Information

NPI Number	:	1407861214
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	STUART D. KATCHIS, M.D., P.C.

Provider Business Mailing Address
First Line	:	130 E 77TH ST
Second Line	:	12TH FLOOR
City	:	NEW YORK
State	:	NY
Zip	:	10075-1851
Country	:	US
Telephone Number	:	212-434-4920
Fax Number	:	212-434-2844

Provider Business Practice Location Address
First Line	:	130 E 77TH ST
Second Line	:	12TH FLOOR
City	:	NEW YORK
State	:	NY
Zip	:	10075-1851
Country	:	US
Telephone Number	:	212-434-4920
Fax Number	:	212-434-2844

Authorized Official
Title or Position	:	PRESIDENT/DOCTOR
Name	:	DR. STUART DEAN KATCHIS
Credential	:	M.D.
Telephone Number	:	212-434-4920

Provider Enumeration Date	:	07/30/2006
Last Update Date	:	05/15/2008

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Directions to “STUART D. KATCHIS, M.D., P.C. ” Practice Location

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