Individual
EVAN KATZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
27005 76TH AVE, NEW HYDE PARK, NY 11040-1496
(718) 470-7000
Mailing address
123 MONROE DR, CENTERPORT, NY 11721-1230
(631) 456-0194
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
676061-1
NY
367500000X
Certified Registered Nurse Anesthetist
Primary
676061-1
NY
Other
Enumeration date
02/17/2021
Last updated
10/01/2024
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