Provider Demographics
NPI:1700224045
Name:KATZ, STEVEN G (PHD)
Entity Type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:G
Last Name:KATZ
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:110 E 82ND ST
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10028-0801
Mailing Address - Country:US
Mailing Address - Phone:212-288-4546
Mailing Address - Fax:516-625-5558
Practice Address - Street 1:110 E 82ND ST
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10028-0801
Practice Address - Country:US
Practice Address - Phone:212-288-4546
Practice Address - Fax:516-625-5558
Is Sole Proprietor?:Yes
Enumeration Date:2013-06-09
Last Update Date:2013-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY4738103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist