Individual
PROF. MICAH SOLOMON KATZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
501 STATE ROUTE 208, MONROE, NY 10950-1611
(845) 836-1111
(845) 400-2428
Mailing address
501 STATE ROUTE 208, MONROE, NY 10950-1611
(845) 836-1111
(845) 400-2428
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
007897
NY
208100000X
Physical Medicine & Rehabilitation Physician
007897
NY
363AM0700X
Medical Physician Assistant
Primary
007897
NY
Other
Enumeration date
01/10/2006
Last updated
01/16/2023
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