Provider Demographics
NPI:1295067809
Name:KATZ, DAVID ISRAEL (BS PHARMACY)
Entity type:Individual
Prefix:MR
First Name:DAVID
Middle Name:ISRAEL
Last Name:KATZ
Suffix:
Gender:M
Credentials:BS PHARMACY
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2985 BOND DR
Mailing Address - Street 2:
Mailing Address - City:MERRICK
Mailing Address - State:NY
Mailing Address - Zip Code:11566-5124
Mailing Address - Country:US
Mailing Address - Phone:516-379-5956
Mailing Address - Fax:
Practice Address - Street 1:6216 11TH AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11219-5204
Practice Address - Country:US
Practice Address - Phone:718-745-5499
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-02-06
Last Update Date:2010-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY033375183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist