Individual
MRS. BRACHA KATZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSED
Contact information
Practice address
1380 59TH ST, BROOKLYN, NY 11219-5015
(718) 879-8517
Mailing address
1010 41ST ST, BROOKLYN, NY 11219-1203
(917) 588-7108
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1
OTHER
—
Enumeration date
02/06/2019
Last updated
02/06/2019
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