IVAN HERZOG


Address: 51 Charles Lindberg Blvd, Uniondale, NY 11553
Phone: 5167944646

IVAN HERZOG (NPI# 1386765071) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1386765071
Entity Type Individual
Full Name IVAN HERZOG
Credential MD
Practice Address 51 Charles Lindberg Blvd
Uniondale
NY 11553
Mailing Address 5 Headley Way
Woodbury
NY 11797
Practice Telephone 5167944646
Mailing Telephone 5163679490
Enumeration Date 2007-04-02
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207ZH0000X Pathology
Specialization: Hematology
089327 NY Allopathic & Osteopathic Physicians

Office Location

Street Address 51 CHARLES LINDBERG BLVD
City UNIONDALE
State NY
Zip Code 11553

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1053875229 Msk Nassau Radiology 1101 Hempstead Turnpike, Uniondale, NY 11553 2019-01-22
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1043683949 Guerline Paul Licensed Practical Nurse 1047 Smith Street, Uniondale, NY 11553 2015-11-02
1851798433 Denisha Dodd Registered Nurse 511 Marshall Ct, Uniondale, NY 11553 2014-11-26
1477895001 Ryan Brett Sugarman Student in an Organized Health Care Education/Training Program 1101 Hempstead Tpke, Uniondale, NY 11553 2013-03-21
1699024133 Bernadette Saint Joy Nurse's Aide 565 Lakeville Lane, East Meadow, NY 11553 2012-08-30
1962773937 Elsa E. Pinedo Internal Medicine 664 Beck Street, Uniondale, NY 11553 2012-01-23
1770851271 Lynn Hankins Registered Nurse 801 New Street, Uniondale, NY 11553 2011-12-12
1811272685 Kerlyne Merant Licensed Practical Nurse 1201 Walnut Street, Uniondale, NY 11553 2011-10-12
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Taxonomy Information

Taxonomy Code 207ZH0000X
Grouping Allopathic & Osteopathic Physicians
Classification Pathology
Specialization Hematology

Taxonomy Definition

A hematopathologist is expert in diseases that affect blood cells, blood clotting mechanisms, bone marrow and lymph nodes. This physician has the knowledge and technical skills essential for the laboratory diagnosis of anemias, leukemias, lymphomas, bleeding disorders and blood clotting disorders.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/. American Osteopathic Board of Pathology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. Board certification for Doctors of Osteopathy (DOs) was provided by the American Osteopathic Board of Pathology. The Certification is NO longer provided.

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1407240898 Caroline Dignan Pathology 740 E Henrietta Rd, Rochester, NY 14623-1406 2015-03-24
1386937589 Alexander Chan Pathology 303 E 60th St Apt 29f, New York, NY 10022-1524 2011-05-20
1598074809 Matthew David Geller Pathology 222 Station Plz N Ste 600, Mineola, NY 11501-3801 2010-10-04
1578797775 Farnoush Mohammadi Pathology Jacobi Medical Center 1400 Pelham Parkway South, Staff House 518, Bronx, NY 10461 2009-05-04
1346402294 Caleb Ho Pathology 1275 York Ave Dept of Pathology, Memorial Sloan Kettering Cancer Center, New York, NY 10065-6007 2008-07-01
1154591378 Yingxian Liu Pathology 16 Dennis St, Manhasset, NY 11030-3010 2008-03-04
1881888444 Cherng-guang Daniel Wu Pathology 521 W 57th St Fl 5, New York, NY 10019-2929 2007-08-28
1477670677 Maria Kristina Subik Pathology Albany Medical College, 47 New Scotland Ave, Mc81, Albany, NY 12208 2007-03-23
1710038328 Aaron Feliz Pathology Olmmc, Dept. of Pathology, 600 East 233rd St., Bronx, NY 10466 2007-01-12
1992862510 Lool S Abebe Pathology 600 East 233rd St, Olmmc Dept of Pathology, Bronx, NY 10466 2007-01-02
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Competitor

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City UNIONDALE
Zip Code 11553

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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