National Provider Identifier

Katherine Heiss Zang, MD

Katherine Heiss Zang, MD is listed in the NPPES registry with a primary specialty of Family Medicine Physician in Ithaca, NY and a listed phone number of (607) 255-6106.

NPI 1720077563Ithaca, NYFamily Medicine Physician

Profile Overview

NPI
1720077563
Provider Type
Individual
Primary Specialty
Family Medicine Physician
Enumeration Date
October 14, 2005
Last Updated
November 01, 2012

Practice Location

  • 110 Ho Plaza
  • Gannett Health Services
  • Ithaca, NY 14853

Phone: (607) 255-6106

Specialties

  • Family Medicine Physician (207Q00000X)
Full Record
NPI
1720077563
Entity Type
Individual
Last Name
Zang
First Name
Katherine
Middle Name
Heiss
Credential
MD
Provider Other Last Name
Heiss
Provider Other First Name
Katherine
Provider Other Middle Name
Demer
Provider Other Last Name Type Code
1
Mailing Street Address
110 Ho Plaza
Mailing Address Line 2
Gannett Health Services
Mailing City
Ithaca
Mailing State
NY
Mailing ZIP Code
14853
Mailing Country
US
Mailing Phone
(607) 255-6106
Mailing Fax
(607) 254-3503
Practice Street Address
110 Ho Plaza
Practice Address Line 2
Gannett Health Services
Practice City
Ithaca
Practice State
NY
Practice ZIP Code
14853
Practice Country
US
Practice Phone
(607) 255-6106
Practice Fax
(607) 254-3503
Enumeration Date
October 14, 2005
Last Updated
November 01, 2012
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Family Medicine Physician (207Q00000X)
Other Identifiers
21183759 (NM), 88559068 (CO), 945587 (AZ)