Provider Demographics
NPI:1902699135
Name:KATZ, SYDNEY (AGNP-C)
Entity type:Individual
Prefix:
First Name:SYDNEY
Middle Name:
Last Name:KATZ
Suffix:
Gender:F
Credentials:AGNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:43 ROLLING WOOD DR
Mailing Address - Street 2:
Mailing Address - City:STAMFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06905-2326
Mailing Address - Country:US
Mailing Address - Phone:203-921-6707
Mailing Address - Fax:
Practice Address - Street 1:40 DUKE MEDICINE CIR # 1L
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27710-4000
Practice Address - Country:US
Practice Address - Phone:919-681-1700
Practice Address - Fax:919-668-1294
Is Sole Proprietor?:No
Enumeration Date:2025-05-28
Last Update Date:2025-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC377618163W00000X
NC5022328363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No163W00000XNursing Service ProvidersRegistered Nurse