Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251P0200X | Physical Therapist - Pediatrics | 017994 | NY |
NPI | 1073752705 |
---|---|
Provider Name | Mrs. Yael Katz |
First Address | Staten Island, NY 10314-6231 |
Second Address | Staten Island, NY 10314-6231 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 19/02/2009 |
Last Update Date | 19/02/2009 |