Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207VF0040X | Female Pelvic Medicine and Reconstructive Surgeon | 191734 | NY |
Y | 208800000X | Urologist | 1917341 | NY |
NPI | 1104910082 |
---|---|
Provider Name | Dr. Daniel M Katz |
First Address | Poughkeepsie, NY 12601-1172 |
Second Address | Poughkeepsie, NY 12603 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/10/2006 |
Last Update Date | 29/01/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
01648273 | (05) | NY |