Individual
TARYN KATZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
509 W MERRICK RD, #103, VALLEY STREAM, NY 11580-5252
(516) 561-1151
Mailing address
6625 103RD ST, APT 6E, FOREST HILLS, NY 11375-2001
(516) 395-5921
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
058014
NY
Other
Enumeration date
03/12/2013
Last updated
03/05/2019
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