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Individual

DR. JORDAN KATZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
3001 EXPRESSWAY DRIVE NORTH, ISLANDIA, NY 11749
(631) 444-9600
Mailing address
P.O. BOX 1559, STONY BROOK, NY 11790
(631) 444-9600

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
172433
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01241345
NY
01
4515662
AETNA
NY
01
82F35
EMPIRE BC.BS
NY
Enumeration date
07/11/2006
Last updated
04/15/2022
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