Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225100000X | Physical Therapist | 027784 | NY |
NPI | 1003129008 |
---|---|
Provider Name | Mrs. Jennifer L Katz |
First Address | Woodmere, NY 11598-2714 |
Second Address | Woodmere, NY 11598-2714 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/07/2010 |
Last Update Date | 19/07/2010 |