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 (DIRECTOR)
(212) 688-5882
Entity
Organization
Contact information
Practice address
4514 48TH ST, WOODSIDE, NY 11377-5337
(718) 729-8512
(718) 729-3577
Mailing address
45-14 48TH STREET, WOODSIDE, NY 11377
(718) 729-8512
(718) 729-3577
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
134724-1
NY
Other
Enumeration date
11/09/2007
Last updated
01/13/2009
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