Individual
DR. ALEXANDRA L CHAN KATZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS, MPH
Contact information
Practice address
58 RUTLEDGE ST, ODA PRIMARY HEALTH CARE NETWORK- DIRECTOR DENTAL, BROOKLYN, NY 11249-7814
(718) 260-4620
Mailing address
14 HEYWARD ST, BROOKLYN, NY 11249-7823
(718) 260-4600
(914) 764-5605
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
008620
CT
122300000X
Dentist
0478090
NY
1223G0001X
General Practice Dentistry
Primary
047809
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
008620
DENTAL LICENSE STATE
CT
01
—
0478090
LICENSE
NY
Enumeration date
08/15/2005
Last updated
03/07/2023
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