Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213E00000X | Podiatrist | N003570 | NY |
Y | 222Z00000X | Podiatrist | N003570 | NY |
NPI | 1043289887 |
---|---|
Provider Name | Dr. Barry Allen Katzman |
First Address | Bellerose, NY 11426-1836 |
Second Address | Bellerose, NY 11426-1836 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 15/03/2006 |
Last Update Date | 30/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00830502 | (05) | NY |
T32183 | (02) |