1265601603 NPI number — MS. KAREN ZAMPA KATZ LCSW

Table of content: MS. KAREN ZAMPA KATZ LCSW (NPI 1265601603)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1265601603 NPI number — MS. KAREN ZAMPA KATZ LCSW

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
KATZ
Provider First Name:
KAREN
Provider Middle Name:
ZAMPA
Provider Name Prefix Text:
MS.
Provider Name Suffix Text:
Provider Credential Text:
LCSW
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
LEON
Provider Other First Name:
KAREN
Provider Other Middle Name:
ZAMPA
Provider Other Name Prefix Text:
MS.
Provider Other Name Suffix Text:
Provider Other Credential Text:
LCSW
Provider Other Last Name Type Code:
2

NPI Number Information

NPI Number:
1265601603
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
03/26/2015
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2631 MERRICK ROAD
Provider Second Line Business Mailing Address:
SUITE 401
Provider Business Mailing Address City Name:
BELLMORE
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
11710-9001
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
516-308-3710
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2631 MERRICK RD
Provider Second Line Business Practice Location Address:
SUITE 401
Provider Business Practice Location Address City Name:
BELLMORE
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
11710-5730
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
516-308-3710
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
02/28/2008

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 1041C0700X , with the licence number:  049057-1 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 1265601603 . This is a "NPI" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".




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