MEDICARE: CHAVA G 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	225X00000X	Occupational Therapist	028742	NY

General Provider Information

NPI Number	:	1912776121
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHAVA G KATZ

Provider Business Mailing Address
First Line	:	1886 54TH ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11204-1545
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1886 54TH ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11204-1545
Country	:	US
Telephone Number	:	347-372-6294
Fax Number	:

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

Provider Enumeration Date	:	12/28/2023
Last Update Date	:	12/28/2023

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Directions to “ CHAVA G KATZ ” Practice Location

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