Provider Demographics
NPI:1679562821
Name:KATZ, JULIA D (MD)
Entity type:Individual
Prefix:DR
First Name:JULIA
Middle Name:D
Last Name:KATZ
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:572 PARK AVE
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10065-7370
Mailing Address - Country:US
Mailing Address - Phone:212-751-8374
Mailing Address - Fax:212-751-8379
Practice Address - Street 1:572 PARK AVE
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10065-7370
Practice Address - Country:US
Practice Address - Phone:212-751-8374
Practice Address - Fax:212-751-8379
Is Sole Proprietor?:Yes
Enumeration Date:2005-10-20
Last Update Date:2008-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY200777207W00000X
NJMA72439207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
0401949OtherGHI
200777A40OtherHEALTHFIRST
3C1014OtherHEALTHNET PHS
P2498191OtherOXFORD
KJ0777OtherATLANTIS
134177311OtherLOCAL 1199
134177311OtherPHCS GUARDIAN
134177311OtherEMPIRE PLAN OF NY
134177311OtherMULTIPLAN
384A52OtherEMPIRE BLUE CROSS BLUE SH
010200777NY01OtherHORIZON HEALTHCARE OF NY
136805CROtherPREFERRED CARE PREFERRED
2098181OtherUNITED HEALTHCARE
7932254OtherAETNA US HEALTHCARE
NY02151797Medicaid
3015776OtherCIGNA
134177311OtherPHCS GUARDIAN
2098181OtherUNITED HEALTHCARE