Provider Demographics
NPI:1306827522
Name:KATZ, ALBERT STEWART (MD)
Entity Type:Individual
Prefix:DR
First Name:ALBERT
Middle Name:STEWART
Last Name:KATZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:200 N VILLAGE AVE
Mailing Address - Street 2:SUITE 300
Mailing Address - City:ROCKVILLE CENTRE
Mailing Address - State:NY
Mailing Address - Zip Code:11570-2341
Mailing Address - Country:US
Mailing Address - Phone:516-766-2929
Mailing Address - Fax:516-766-7728
Practice Address - Street 1:200 N VILLAGE AVE
Practice Address - Street 2:SUITE 300
Practice Address - City:ROCKVILLE CENTRE
Practice Address - State:NY
Practice Address - Zip Code:11570-2341
Practice Address - Country:US
Practice Address - Phone:516-766-2929
Practice Address - Fax:516-766-7728
Is Sole Proprietor?:No
Enumeration Date:2005-11-07
Last Update Date:2008-02-21
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY096588208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
136196-A32OtherHEALTH FIRST
21138OtherVYTRA
2C9361OtherHEALTH NET
NYAK05747910OtherBLUE CROSS BLUE SHIELD
112425OtherAETNA
NY00377546Medicaid
2213976001OtherCIGNA
096588OtherHIP
1000039OtherGROUP HEALTH INSURANCE
000000068632OtherGHI HMO
2C9361OtherCARE CORE
NY340004033OtherRAILROAD MEDICARE
AS1596OtherOXFORD
000000068632OtherGHI HMO
2C9361OtherHEALTH NET