Provider Demographics
NPI:1306139340
Name:KATZ, FARRAH ANN (AUD)
Entity type:Individual
Prefix:DR
First Name:FARRAH
Middle Name:ANN
Last Name:KATZ
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:771 NEW YORK AVE
Mailing Address - Street 2:
Mailing Address - City:HUNTINGTON
Mailing Address - State:NY
Mailing Address - Zip Code:11743-4221
Mailing Address - Country:US
Mailing Address - Phone:631-673-5820
Mailing Address - Fax:
Practice Address - Street 1:771 NEW YORK AVE
Practice Address - Street 2:
Practice Address - City:HUNTINGTON
Practice Address - State:NY
Practice Address - Zip Code:11743-3346
Practice Address - Country:US
Practice Address - Phone:631-673-5820
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-05-24
Last Update Date:2016-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY14000029931237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY14000029931OtherNEW YORK STATE HEARING AID DISPENSER LICENSE