National Provider Identifier
Mark Terrance Metzdorff, MD
Mark Terrance Metzdorff, MD is listed in the NPPES registry with a primary specialty of Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in Elmira, NY and a listed phone number of (607) 737-7780.
Profile Overview
- NPI
- 1992797237
- Provider Type
- Individual
- Primary Specialty
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Enumeration Date
- August 22, 2005
- Last Updated
- November 15, 2013
Practice Location
- 600 Ivy St
- Elmira, NY 14905-1627
Phone: (607) 737-7780
Mailing Address
- 722 W Water St
- Elmira, NY 14905-2435
Specialties
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician (208G00000X)
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician (208G00000X)
Full Record
- NPI
- 1992797237
- Entity Type
- Individual
- Last Name
- Metzdorff
- First Name
- Mark
- Middle Name
- Terrance
- Credential
- MD
- Mailing Street Address
- 722 W Water St
- Mailing City
- Elmira
- Mailing State
- NY
- Mailing ZIP Code
- 14905-2435
- Mailing Country
- US
- Mailing Phone
- (607) 271-2093
- Mailing Fax
- (607) 271-2099
- Practice Street Address
- 600 Ivy St
- Practice City
- Elmira
- Practice State
- NY
- Practice ZIP Code
- 14905-1627
- Practice Country
- US
- Practice Phone
- (607) 737-7780
- Practice Fax
- (607) 737-7788
- Enumeration Date
- August 22, 2005
- Last Updated
- November 15, 2013
- Sex
- Male
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician (208G00000X), Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician (208G00000X)
- Other Identifiers
- 210476 (OR), 8303331 (WA)