National Provider Identifier
Micah Gabriel Katz, M.D.
Micah Gabriel Katz, M.D. is listed in the NPPES registry with a primary specialty of Surgery Physician in Ithaca, NY and a listed phone number of (607) 274-4411.
Profile Overview
- NPI
- 1912324955
- Provider Type
- Individual
- Primary Specialty
- Surgery Physician
- Enumeration Date
- March 27, 2014
- Last Updated
- July 08, 2020
Practice Location
- 101 Dates Dr
- Ithaca, NY 14850-1383
Phone: (607) 274-4411
Specialties
- Surgery Physician (208600000X)
Full Record
- NPI
- 1912324955
- Entity Type
- Individual
- Last Name
- Katz
- First Name
- Micah
- Middle Name
- Gabriel
- Credential
- M.D.
- Mailing Street Address
- 101 Dates Dr
- Mailing City
- Ithaca
- Mailing State
- NY
- Mailing ZIP Code
- 14850-1383
- Mailing Country
- US
- Mailing Phone
- (607) 274-4411
- Practice Street Address
- 101 Dates Dr
- Practice City
- Ithaca
- Practice State
- NY
- Practice ZIP Code
- 14850-1383
- Practice Country
- US
- Practice Phone
- (607) 274-4411
- Enumeration Date
- March 27, 2014
- Last Updated
- July 08, 2020
- Sex
- Male
- Sole Proprietor
- Yes
- Certification Date
- July 08, 2020
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Surgery Physician (208600000X)