Individual
JACOB KATANOV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
540 ATLANTIC AVE, BROOKLYN, NY 11217-1985
(718) 855-4900
(718) 802-0631
Mailing address
2202 STEINWAY ST, ASTORIA, NY 11105-1836
(718) 423-0808
(718) 204-6866
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
007935
NY
Other
Enumeration date
07/16/2006
Last updated
07/08/2007
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