Mitchell H Herzog (NPI# 1184801391, PAC ID# 0547241226) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CLINICAL SOCIAL WORKER.
| Nation Provider ID (NPI) | 1184801391 |
| PAC ID by PECOS | 0547241226 |
| Professional Enrollment ID | I20040527001152 |
| Full Name | Mitchell H Herzog |
| Address |
401 E State St Suite 201 Ithaca NY 14850-4400 |
| Phone Number | 6072777079 |
| Gender | M |
| Credential | CSW |
| Graduation Year | 2002 |
| Primary Specialty | CLINICAL SOCIAL WORKER |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 401 E State St, Suite 201, Ithaca, NY 14850-4400 | 6072777079 |
| Street Address |
401 E STATE ST SUITE 201 |
| City | ITHACA |
| State | NY |
| Zip | 14850-4400 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lisa Kendall | Clinical Social Worker | 401 E State St, Suite 400 Office 1, Ithaca, NY 14850-4229 | |
| Cristen E Haltom | Psychologist, Clinical | 401 E State St, Suite 201, Ithaca, NY 14850-4400 | |
| Karen M La Face | Family Medicine | 401 E State St, Suite 201b, Ithaca, NY 14850-4400 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Victoria Anne Vargas | Clinical Social Worker | Dewitt Mall 215 N Cayuga St, Suite 77, Ithaca, NY 14850 | |
| Ashlin M Thuman | Nurse Practitioner | Cayuga Medical Associates PC | 2432 N Triphammer Rd, Ithaca, NY 14850-1014 |
| Brian S Marino | Cardiovascular Disease (cardiology) | Cayuga Medical Associates PC | 2432 N Triphammer Rd, Ithaca, NY 14850-1014 |
| Sara Schewel Foster | Nurse Practitioner | Cayuga Medical Associates PC | 2432 N Triphammer Rd, Ithaca, NY 14850-1014 |
| Paula Fitzsimmons | Physician Assistant | Cayuga Medical Associates PC | 1020 Craft Rd, Ithaca, NY 14850-1016 |
| Diana M Stephens | Dermatology | Cayuga Medical Associates PC | 1020 Craft Rd, Ithaca, NY 14850-1016 |
| Marie A Harkins | Nurse Practitioner | Cayuga Medical Associates PC | 1020 Craft Rd, Suite C, Ithaca, NY 14850-1016 |
| Lori Davis | Nurse Practitioner | Cayuga Medical Associates PC | 1020 Craft Rd, Ithaca, NY 14850-1016 |
| Alexandra T Burch | Nurse Practitioner | Cayuga Medical Associates PC | 1020 Craft Rd, Ithaca, NY 14850-1016 |
| Brad A Yentzer | Dermatology | Cayuga Medical Associates PC | 1020 Craft Rd, Ithaca, NY 14850-1016 |
| Find all physicians in zip 14850 | |||
| City | ITHACA |
| Zip Code | 14850 |
| Specialty | CLINICAL SOCIAL WORKER |
| City + Specialty | ITHACA + CLINICAL SOCIAL WORKER |
Please comment or provide details below to improve the information on Mitchell H Herzog.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.