Provider Demographics
NPI:1508818212
Name:KATZ, VICTORIA (MD)
Entity Type:Individual
Prefix:DR
First Name:VICTORIA
Middle Name:
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 1:1725 E 12TH ST
Mailing Address - Street 2:STE 101
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11229-1068
Mailing Address - Country:US
Mailing Address - Phone:718-375-2300
Mailing Address - Fax:718-513-6322
Practice Address - Street 1:1664 E 14TH ST
Practice Address - Street 2:SUITE 401
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11229-1155
Practice Address - Country:US
Practice Address - Phone:718-375-2300
Practice Address - Fax:718-513-6322
Is Sole Proprietor?:No
Enumeration Date:2006-05-17
Last Update Date:2018-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY225323207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY089AM2Medicare ID - Type UnspecifiedMEDICARE
NY02356774Medicaid
NYH73843Medicare UPIN