Individual
ILENE KATZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
519 W 114TH ST, MC 3601, NEW YORK, NY 10027-7036
(212) 854-7426
Mailing address
519 W 114TH ST, MC 3601, NEW YORK, NY 10027-7036
(212) 854-7426
Taxonomy
Speciality
Code
Description
License number
State
163WC1400X
College Health Registered Nurse
Primary
309104
NY
Other
Enumeration date
04/06/2007
Last updated
07/08/2007
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