Provider Demographics
NPI:1053404384
Name:KATZMAN, GARY PAUL (MD)
Entity type:Individual
Prefix:DR
First Name:GARY
Middle Name:PAUL
Last Name:KATZMAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:1249 PARK AVE APT 2F
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10029-7231
Mailing Address - Country:US
Mailing Address - Phone:212-410-6750
Mailing Address - Fax:212-410-6751
Practice Address - Street 1:1225 PARK AVE
Practice Address - Street 2:#1E
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10128-1758
Practice Address - Country:US
Practice Address - Phone:212-410-6750
Practice Address - Fax:212-410-6751
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY2306502084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry