Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207QA0505X | Family Doctor - Adult Medicine | 075288-1 | NY |
NPI | 1245434455 |
---|---|
Provider Name | Dr. S. Sheldon Katz |
First Address | West Nyack, NY 10994-2828 |
Second Address | West Nyack, NY 10994-2828 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 12/06/2007 |
Last Update Date | 08/07/2007 |