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Individual

DR. JACK L KATZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1010 NORTHERN BLVD, SUITE 208, GREAT NECK, NY 11021-5306
(516) 336-2565
(516) 336-2564
Mailing address
104 ELIZABETH RD, NEW ROCHELLE, NY 10804-3107
(914) 235-8191

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
086872
NY

Other

Enumeration date
01/24/2006
Last updated
07/08/2007
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