Most Relevant Information
Provider Data
| NPI Number: | 1003643248 |
| Provider Name: | JASON S KATZ PMH-BC, RN |
| Entity Type: | Individual |
| Taxonomy Code: | 163WP0808X |
| Specialty: | Registered Nurse |
| License Number: | 179444 |
Most Important Dates
| Enumeration Date: | 09/19/2024 |
| Last Updated: | 09/19/2024 |
Provider Practice Location
558 WHITNEY AVE APT 8
NEW HAVEN
CT
065112229
Practice Location Phone/Fax
| Phone: | 2158054969 |
| Fax: |
Provider Mailing Location
558 WHITNEY AVE APT 8
NEW HAVEN
CT
065112229
Provider Mailing Phone/Fax
| Phone: | 2158054969 |
| Fax: |