Provider Demographics
NPI:1447569066
Name:KATS, MARINA (RPA)
Entity Type:Individual
Prefix:
First Name:MARINA
Middle Name:
Last Name:KATS
Suffix:
Gender:F
Credentials:RPA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 798
Mailing Address - Street 2:
Mailing Address - City:ROCKVILLE CENTRE
Mailing Address - State:NY
Mailing Address - Zip Code:11571-0798
Mailing Address - Country:US
Mailing Address - Phone:516-705-1212
Mailing Address - Fax:516-705-3575
Practice Address - Street 1:1000 N. VILLAGE AVENUE
Practice Address - Street 2:OB/GYN
Practice Address - City:ROCKVILLE CENTRE
Practice Address - State:NY
Practice Address - Zip Code:11570-0000
Practice Address - Country:US
Practice Address - Phone:516-705-1212
Practice Address - Fax:516-705-3575
Is Sole Proprietor?:No
Enumeration Date:2010-09-30
Last Update Date:2010-09-30
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY004364363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant