Individual
DOUGLAS S KATZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
120 MINEOLA BLVD, SUITE 10 LOWER LEVEL, MINEOLA, NY 11501-4064
(516) 663-4510
(516) 663-3698
Mailing address
PO BOX 95000-5560, PHILADELPHIA, PA 19195-5560
(888) 220-1235
(865) 450-9374
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
192522
NY
2085R0202X
Diagnostic Radiology Physician
Primary
192522
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01669965
—
NY
Enumeration date
06/29/2006
Last updated
07/31/2013
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