Provider Demographics
NPI:1629006184
Name:NY ARTHRITIS P.C.
Entity type:Organization
Organization Name:NY ARTHRITIS P.C.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:VICTORIA
Authorized Official - Middle Name:
Authorized Official - Last Name:KATZ
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:718-375-2300
Mailing Address - Street 1:2026 OCEAN AVE
Mailing Address - Street 2:#6A
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11230-7352
Mailing Address - Country:US
Mailing Address - Phone:718-375-2300
Mailing Address - Fax:718-725-7091
Practice Address - Street 1:1725 E 12TH ST
Practice Address - Street 2:SUITE LL-1
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11229-1028
Practice Address - Country:US
Practice Address - Phone:718-375-2300
Practice Address - Fax:718-725-7091
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-30
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered207N00000XAllopathic & Osteopathic PhysiciansDermatologyGroup - Multi-Specialty
Not Answered207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
Not Answered207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Multi-Specialty
Not Answered213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatristGroup - Multi-Specialty
Not Answered225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02356774Medicaid
NY089AMZMedicare ID - Type Unspecified
NY02356774Medicaid