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NPI Code Detail

MEDICARE: MRS. MARIA KATSEV OD

MEDICARE: MRS. MARIA KATSEV OD
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
1152W00000XOptometristTUV06380NY

Other Identifiers

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

General Provider Information

NPI Number : 1881744779
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. MARIA KATSEV OD
Provider Business Mailing Address
First Line : 2103 RALPH AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11234-5405
Country : US
Telephone Number : 718-241-0400
Fax Number : 718-968-6854
Provider Business Practice Location Address
First Line : 2103 RALPH AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11234-5405
Country : US
Telephone Number : 718-241-0400
Fax Number : 718-968-6854
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/11/2007
Last Update Date : 04/16/2008

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Directions to “ MRS. MARIA KATSEV OD” Practice Location

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