Provider Demographics
NPI:1467487470
Name:KATZ, DARREN J (DC)
Entity Type:Individual
Prefix:DR
First Name:DARREN
Middle Name:J
Last Name:KATZ
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 HICKSVILLE ROAD
Mailing Address - Street 2:SUITE 3
Mailing Address - City:MASSAPEQUA
Mailing Address - State:NY
Mailing Address - Zip Code:11758
Mailing Address - Country:US
Mailing Address - Phone:516-799-5407
Mailing Address - Fax:516-799-5452
Practice Address - Street 1:100 HICKSVILLE ROAD
Practice Address - Street 2:SUITE 3
Practice Address - City:MASSAPEQUA
Practice Address - State:NY
Practice Address - Zip Code:11758
Practice Address - Country:US
Practice Address - Phone:516-799-5407
Practice Address - Fax:516-799-5452
Is Sole Proprietor?:No
Enumeration Date:2006-07-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX008990111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
P1061744OtherOXFORD
N94480OtherHEALTHNET
C089906BOtherWORKERS COMP
NYX0B122OtherBLUE CROSS BLUE SHIELD
5897541OtherGHI
C089906BOtherWORKERS COMP
P1061744OtherOXFORD