Provider Demographics
NPI:1225723364
Name:METZ, KATHARINE CASEY (PA-C)
Entity Type:Individual
Prefix:
First Name:KATHARINE
Middle Name:CASEY
Last Name:METZ
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11 DEER RUN RD
Mailing Address - Street 2:
Mailing Address - City:SOUTH SALEM
Mailing Address - State:NY
Mailing Address - Zip Code:10590-2105
Mailing Address - Country:US
Mailing Address - Phone:914-588-0678
Mailing Address - Fax:
Practice Address - Street 1:11 DEER RUN RD
Practice Address - Street 2:
Practice Address - City:SOUTH SALEM
Practice Address - State:NY
Practice Address - Zip Code:10590-2105
Practice Address - Country:US
Practice Address - Phone:914-588-0678
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-04-05
Last Update Date:2023-05-27
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant