Provider Demographics
NPI:1124144985
Name:KATZ,RAMCHANDRAN,KUCHTA,PFEFFER,&HASSANKHANI,M.D.,P.C.
Entity type:Organization
Organization Name:KATZ,RAMCHANDRAN,KUCHTA,PFEFFER,&HASSANKHANI,M.D.,P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:LOUIS
Authorized Official - Middle Name:
Authorized Official - Last Name:KATZ
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:631-499-4233
Mailing Address - Street 1:160 COMMACK RD
Mailing Address - Street 2:LL1
Mailing Address - City:COMMACK
Mailing Address - State:NY
Mailing Address - Zip Code:11725-3412
Mailing Address - Country:US
Mailing Address - Phone:631-499-4233
Mailing Address - Fax:631-499-3856
Practice Address - Street 1:160 COMMACK RD
Practice Address - Street 2:LL1
Practice Address - City:COMMACK
Practice Address - State:NY
Practice Address - Zip Code:11725-3412
Practice Address - Country:US
Practice Address - Phone:631-499-4233
Practice Address - Fax:631-499-3856
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-22
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY51011442174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY=========OtherTIN
NYW11671Medicare ID - Type Unspecified