Individual
RAISA KATZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
105 SO. BEDFORD RD., SUITE 310, MT. KISCO, NY 10549-5502
(914) 864-2303
(347) 701-5868
Mailing address
POST OFFICE BOX 1138, RIDGEFIELD, CT 06877-3622
(347) 701-5868
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
188312
NY
2085R0204X
Vascular & Interventional Radiology Physician
Primary
188312
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01883590
—
NY
Enumeration date
08/02/2005
Last updated
04/04/2017
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