National Provider Identifier
Daniel S Jorgenson, M.D.
Daniel S Jorgenson, M.D. is listed in the NPPES registry with a primary specialty of Plastic Surgery Physician in Ithaca, NY and a listed phone number of (607) 216-0062.
Profile Overview
- NPI
- 1093714958
- Provider Type
- Individual
- Primary Specialty
- Plastic Surgery Physician
- Enumeration Date
- July 21, 2005
- Last Updated
- July 08, 2007
Practice Location
- 20 Arrowood Dr
- Suite B
- Ithaca, NY 14850-1857
Phone: (607) 216-0062
Specialties
- Plastic Surgery Physician (208200000X)
Full Record
- NPI
- 1093714958
- Entity Type
- Individual
- Last Name
- Jorgenson
- First Name
- Daniel
- Middle Name
- S
- Name Prefix
- Dr.
- Credential
- M.D.
- Mailing Street Address
- 20 Arrowood Dr
- Mailing Address Line 2
- Suite B
- Mailing City
- Ithaca
- Mailing State
- NY
- Mailing ZIP Code
- 14850-1857
- Mailing Country
- US
- Mailing Phone
- (607) 216-0062
- Practice Street Address
- 20 Arrowood Dr
- Practice Address Line 2
- Suite B
- Practice City
- Ithaca
- Practice State
- NY
- Practice ZIP Code
- 14850-1857
- Practice Country
- US
- Practice Phone
- (607) 216-0062
- Enumeration Date
- July 21, 2005
- Last Updated
- July 08, 2007
- Sex
- Male
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Plastic Surgery Physician (208200000X)