Provider Demographics
NPI:1750564746
Name:JOEL KATZ MD PC
Entity type:Organization
Organization Name:JOEL KATZ MD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JOEL
Authorized Official - Middle Name:
Authorized Official - Last Name:KATZ
Authorized Official - Suffix:
Authorized Official - Credentials:MD PC
Authorized Official - Phone:212-873-3557
Mailing Address - Street 1:20 WEST 86TH ST
Mailing Address - Street 2:SUITE 8B
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10024-3604
Mailing Address - Country:US
Mailing Address - Phone:212-873-3557
Mailing Address - Fax:212-595-1886
Practice Address - Street 1:20 WEST 86TH ST
Practice Address - Street 2:SUITE 8B
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10024-3604
Practice Address - Country:US
Practice Address - Phone:212-873-3557
Practice Address - Fax:212-595-1886
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-12
Last Update Date:2007-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY04763512084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY108971Medicare PIN