Provider Demographics
NPI:1841385978
Name:KATZ, HOWARD (PT)
Entity Type:Individual
Prefix:MR
First Name:HOWARD
Middle Name:
Last Name:KATZ
Suffix:
Gender:M
Credentials:PT
Other - Prefix:MR
Other - First Name:HOWARD
Other - Middle Name:
Other - Last Name:KATZ
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:6636 YELLOWSTONE BLVD
Mailing Address - Street 2:APT. 23H
Mailing Address - City:FOREST HILLS
Mailing Address - State:NY
Mailing Address - Zip Code:11375-2510
Mailing Address - Country:US
Mailing Address - Phone:718-896-3136
Mailing Address - Fax:718-830-1441
Practice Address - Street 1:6636 YELLOWSTONE BLVD
Practice Address - Street 2:APT 23H
Practice Address - City:FOREST HILLS
Practice Address - State:NY
Practice Address - Zip Code:11375-2510
Practice Address - Country:US
Practice Address - Phone:718-896-3136
Practice Address - Fax:718-830-1441
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY002551-1225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist