Provider Demographics
NPI:1285899336
Name:JULIA D. KATZ M.D. P.LLC
Entity type:Organization
Organization Name:JULIA D. KATZ M.D. P.LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:MRS
Authorized Official - First Name:JULIA
Authorized Official - Middle Name:D
Authorized Official - Last Name:KATZ
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:212-751-8374
Mailing Address - Street 1:572 PARK AVE
Mailing Address - Street 2:1ST FL
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10065-7370
Mailing Address - Country:US
Mailing Address - Phone:212-751-8374
Mailing Address - Fax:212-751-8379
Practice Address - Street 1:572 PARK AVE
Practice Address - Street 2:1ST FL
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10065-7370
Practice Address - Country:US
Practice Address - Phone:212-751-8374
Practice Address - Fax:212-751-8379
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-28
Last Update Date:2008-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY200777207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
P2498191OtherOXFORD
NY02151797Medicaid
2098181OtherUNITED
7932254OtherAETNA
384A52OtherBC
0401949OtherGHI
3C1014OtherHEALTHNET
7932254OtherAETNA
NY02151797Medicaid