Provider Demographics
NPI:1881796340
Name:KATZ, JEFFREY BRIAN (MD)
Entity type:Individual
Prefix:
First Name:JEFFREY
Middle Name:BRIAN
Last Name:KATZ
Suffix:
Gender:M
Credentials:MD
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:110 S BEDFORD RD
Mailing Address - Street 2:CARE MOUNT MEDICAL PC
Mailing Address - City:MOUNT KISCO
Mailing Address - State:NY
Mailing Address - Zip Code:10549-3446
Mailing Address - Country:US
Mailing Address - Phone:914-241-1050
Mailing Address - Fax:914-242-1516
Practice Address - Street 1:48 ROUTE 6, MAHOPAC AVE
Practice Address - Street 2:CARE MOUNT MEDICAL PC
Practice Address - City:YORKTOWN HTS
Practice Address - State:NY
Practice Address - Zip Code:10598
Practice Address - Country:US
Practice Address - Phone:914-248-5556
Practice Address - Fax:914-242-1516
Is Sole Proprietor?:No
Enumeration Date:2006-09-03
Last Update Date:2016-11-15
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Provider Licenses
StateLicense IDTaxonomies
NY193160207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01853185Medicaid
NYA400045876Medicare PIN