Individual
JACQUELINE KATZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
535 HUDSON ST APT 1E, NEW YORK, NY 10014-3254
(646) 852-6890
Mailing address
415 E 37TH ST APT 16M, NEW YORK, NY 10016-3241
(516) 668-2669
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
062710
NY
122300000X
Dentist
22DI02799700
NJ
122300000X
Dentist
DN24576
FL
1223P0700X
Prosthodontics
Primary
062710
NY
1223P0700X
Prosthodontics
22DI02799700
NJ
1223P0700X
Prosthodontics
DN2476
FL
Other
Enumeration date
11/30/2020
Last updated
01/14/2025
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