Individual
LAURA MALISSA KATZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPA-C
Contact information
Practice address
1000 MONTAUK HWY, WEST ISLIP, NY 11795-4927
(631) 376-4444
Mailing address
472 POTTER BLVD, BRIGHTWATERS, NY 11718-1612
(631) 335-4864
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
014622-1
NY
Other
Enumeration date
05/27/2011
Last updated
05/27/2011
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