Chan Katz, Alexandra L

Chan Katz, Alexandra L is an individual health care provider with primary practice located at 58 Rutledge St Oda Primary Health Care Network- Director Dental, Brooklyn NY 11249-7814. She recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / General Practice. Dental Providers / General Practice is her primary health care specialty. Chan Katz, Alexandra L can be contacted via phone (718) 260-4620.

Contact Information

Primary practice address
58 Rutledge St Oda Primary Health Care Network- Director Dental Brooklyn NY 11249-7814
Phone: (718) 260-4620
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 0478090 New York
Dental Providers / Dentist 122300000X 008620 Connecticut
Dental Providers / General Practice 1223G0001X 047809 New York

Profile Details

NPI number 1144222654
LBN Legal business name Chan Katz, Alexandra L
Credentials DDS, MPH
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 15th, 2005
Last updated Mar 7th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1144222654 NPPES
New York Other 0478090 LICENSE
New York Other 008620 LICENSE

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