National Provider Identifier
Eric Michael Jorgensen, MD
Eric Michael Jorgensen, MD is listed in the NPPES registry with a primary specialty of Allergy & Immunology Physician in Ithaca, NY and a listed phone number of (607) 257-6563.
Profile Overview
- NPI
- 1093371429
- Provider Type
- Individual
- Primary Specialty
- Allergy & Immunology Physician
- Enumeration Date
- May 10, 2019
- Last Updated
- June 21, 2025
Practice Location
- 904 E Shore Dr
- Ithaca, NY 14850-1026
Phone: (607) 257-6563
Specialties
- Allergy & Immunology Physician (207K00000X)
Full Record
- NPI
- 1093371429
- Entity Type
- Individual
- Last Name
- Jorgensen
- First Name
- Eric
- Middle Name
- Michael
- Credential
- MD
- Mailing Street Address
- 904 E Shore Dr
- Mailing City
- Ithaca
- Mailing State
- NY
- Mailing ZIP Code
- 14850-1026
- Mailing Country
- US
- Mailing Phone
- (607) 257-6563
- Practice Street Address
- 904 E Shore Dr
- Practice City
- Ithaca
- Practice State
- NY
- Practice ZIP Code
- 14850-1026
- Practice Country
- US
- Practice Phone
- (607) 257-6563
- Enumeration Date
- May 10, 2019
- Last Updated
- June 21, 2025
- Sex
- Male
- Sole Proprietor
- No
- Certification Date
- June 21, 2025
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Allergy & Immunology Physician (207K00000X)