Provider Demographics
NPI:1578826715
Name:MILLER-KATZ, RONNIE M (MS MS ED)
Entity Type:Individual
Prefix:MRS
First Name:RONNIE
Middle Name:M
Last Name:MILLER-KATZ
Suffix:
Gender:F
Credentials:MS MS ED
Other - Prefix:MS
Other - First Name:RONNIE
Other - Middle Name:M
Other - Last Name:MILLER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS MS ED
Mailing Address - Street 1:4229 BEDFORD AVE
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11229-4910
Mailing Address - Country:US
Mailing Address - Phone:718-934-2509
Mailing Address - Fax:
Practice Address - Street 1:4229 BEDFORD AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11229-4910
Practice Address - Country:US
Practice Address - Phone:718-934-2509
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-22
Last Update Date:2012-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist