Provider Demographics
NPI:1467712554
Name:KATZ, KARIN ALEXANDRA (MD)
Entity Type:Individual
Prefix:DR
First Name:KARIN
Middle Name:ALEXANDRA
Last Name:KATZ
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:245 E 19TH ST
Mailing Address - Street 2:APT 11P
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10003-2639
Mailing Address - Country:US
Mailing Address - Phone:516-641-2300
Mailing Address - Fax:
Practice Address - Street 1:530 1ST AVE STE 5F
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10016-6402
Practice Address - Country:US
Practice Address - Phone:212-481-1350
Practice Address - Fax:212-481-1355
Is Sole Proprietor?:No
Enumeration Date:2012-05-22
Last Update Date:2021-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY273051207R00000X, 207RE0101X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program