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Organization

BRUCE E. KATZ, MD, PC

Active
Other names
Juva Skin and Laser Center
Organization subpart
No

Provider details

NPI number
Authorized official
DR. BRUCE KATZ M.D. (DIRECTOR)
(212) 688-5882
Entity
Organization

Contact information

Practice address
60 E 56TH ST, 2ND FLOOR, NEW YORK, NY 10022-3204
(212) 688-5882
(212) 421-9502
Mailing address
60 E 56TH ST, 2ND FLOOR, NEW YORK, NY 10022-3204
(212) 688-5882
(212) 421-9502

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
134724-1
NY
207ND0101X
MOHS-Micrographic Surgery Physician
134724-1
NY
207NI0002X
Clinical & Laboratory Dermatological Immunology Physician
134724-1
NY
207NP0225X
Pediatric Dermatology Physician
134724-1
NY
207NS0135X
Procedural Dermatology Physician
134724-1
NY
208200000X
Plastic Surgery Physician
141259-1
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
60117
GHI MEDICARE
NY
Enumeration date
01/04/2007
Last updated
07/26/2023
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