Provider Demographics
NPI:1841543972
Name:KATZ, ALLISON NICOLE (MS ED)
Entity type:Individual
Prefix:
First Name:ALLISON
Middle Name:NICOLE
Last Name:KATZ
Suffix:
Gender:F
Credentials:MS ED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10 W 65TH ST APT 5L
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10023-6639
Mailing Address - Country:US
Mailing Address - Phone:201-248-5829
Mailing Address - Fax:
Practice Address - Street 1:10 W 65TH ST APT 5L
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10023-6639
Practice Address - Country:US
Practice Address - Phone:201-248-5829
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-10-26
Last Update Date:2012-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist