Basic Information
| Provider Information | |||||||||
| NPI: | 1750478830 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | KATZ | ||||||||
| FirstName: | BARRETT | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 111 EAST 210TH STREET | ||||||||
| Address2: | MONTEFIORE MEDICAL CENTER, CENTENNIAL BUILDING | ||||||||
| City: | BRONX | ||||||||
| State: | NY | ||||||||
| PostalCode: | 100672490 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7189202020 | ||||||||
| FaxNumber: | 7188815439 | ||||||||
| Practice Location | |||||||||
| Address1: | 111 EAST 210TH STREET | ||||||||
| Address2: | CENTENNIAL BUILDING | ||||||||
| City: | BRONX | ||||||||
| State: | NY | ||||||||
| PostalCode: | 104672490 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7189202020 | ||||||||
| FaxNumber: | 7188815439 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 10/09/2006 | ||||||||
| LastUpdateDate: | 04/19/2012 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207W00000X | 120363 | NY | Y | Allopathic & Osteopathic Physicians | Ophthalmology |
No ID Information.