Individual
MICAH GABRIEL KATZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
101 DATES DR, ITHACA, NY 14850-1383
(607) 274-4411
Mailing address
101 DATES DR, ITHACA, NY 14850-1383
(607) 274-4411
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
304194-01
NY
Other
Enumeration date
03/27/2014
Last updated
07/08/2020
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