Provider Demographics
NPI:1699889261
Name:KATZ, ALEXANDER (MD)
Entity type:Individual
Prefix:
First Name:ALEXANDER
Middle Name:
Last Name:KATZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:358 NEPTUNE AVE FL 6
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11235-7088
Mailing Address - Country:US
Mailing Address - Phone:347-492-6455
Mailing Address - Fax:347-492-6454
Practice Address - Street 1:358 NEPTUNE AVE FL 6
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11235-7088
Practice Address - Country:US
Practice Address - Phone:347-492-6455
Practice Address - Fax:347-492-6454
Is Sole Proprietor?:No
Enumeration Date:2006-08-19
Last Update Date:2023-01-11
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA226433207Q00000X
NY254924-01207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine