Provider Demographics
NPI:1457566291
Name:KATS, ELLA
Entity Type:Individual
Prefix:
First Name:ELLA
Middle Name:
Last Name:KATS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:EVERCARE - UNITED HEALTHCARE
Mailing Address - Street 2:1 PENN PLAZA, 7TH FL. STE.725
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10119
Mailing Address - Country:US
Mailing Address - Phone:212-216-6502
Mailing Address - Fax:212-216-6626
Practice Address - Street 1:EVERCARE - UNITED HEALTHCARE
Practice Address - Street 2:1 PENN PLAZA, 7TH FL. STE.725
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10119
Practice Address - Country:US
Practice Address - Phone:212-216-6502
Practice Address - Fax:212-216-6626
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY304515363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health