Katz, Robert

Katz, Robert is an individual health care provider with primary practice located at 60 Shoreham Dr E , Dix Hills NY 11746. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Katz, Robert can be contacted via phone (631) 667-6437.

Contact Information

Primary practice address
60 Shoreham Dr E Dix Hills NY 11746
Phone: (631) 667-6437
Fax: (631) 667-6437
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 005997 New York

Profile Details

NPI number 1578548905
LBN Legal business name Katz, Robert
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 8th, 2005
Last updated Jul 8th, 2007 - about 19 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 1578548905 NPPES
New York MEDICAID 00893201

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