Provider Demographics
NPI:1184607814
Name:KATZEFF, BARBARA SUSAN (MD)
Entity type:Individual
Prefix:DR
First Name:BARBARA
Middle Name:SUSAN
Last Name:KATZEFF
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 1:140 LOCKWOOD AVE
Mailing Address - Street 2:SUITE 204
Mailing Address - City:NEW ROCHELLE
Mailing Address - State:NY
Mailing Address - Zip Code:10801-4908
Mailing Address - Country:US
Mailing Address - Phone:914-355-2133
Mailing Address - Fax:914-355-2132
Practice Address - Street 1:140 LOCKWOOD AVE
Practice Address - Street 2:SUITE 204
Practice Address - City:NEW ROCHELLE
Practice Address - State:NY
Practice Address - Zip Code:10801-4908
Practice Address - Country:US
Practice Address - Phone:914-355-2133
Practice Address - Fax:914-355-2132
Is Sole Proprietor?:No
Enumeration Date:2005-11-28
Last Update Date:2013-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY150267207R00000X, 207RG0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RG0300XAllopathic & Osteopathic PhysiciansInternal MedicineGeriatric Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY04D181Medicare ID - Type Unspecified
NYC04781Medicare UPIN