Michael Norman Divak (NPI# 1508284704, PAC ID# 9638476401) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PSYCHOLOGIST, CLINICAL.
| Nation Provider ID (NPI) | 1508284704 |
| PAC ID by PECOS | 9638476401 |
| Professional Enrollment ID | I20160322000705 |
| Full Name | Michael Norman Divak |
| Address |
66 Montgomery St Suite 2 Canajoharie NY 13317-1212 |
| Phone Number | 5186736001 |
| Gender | M |
| Graduation Year | 2003 |
| Primary Specialty | PSYCHOLOGIST, CLINICAL |
| Accepts Medicare Assignment | M |
| Address | Phone | Organization |
|---|---|---|
| 66 Montgomery St, Suite 2, Canajoharie, NY 13317-1212 | 5186736001 |
| Street Address |
66 MONTGOMERY ST SUITE 2 |
| City | CANAJOHARIE |
| State | NY |
| Zip | 13317-1212 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Judith N Kelly | Nurse Practitioner | St. Mary's Healthcare | 48 Erie Blvd, Canajoharie, NY 13317-1133 |
| Carol A Balfe | Optometry | 70 Erie Blvd, Mohawk Valley Eyecare, Canajoharie, NY 13317-1133 | |
| Melissa A. Patillo | Nurse Practitioner | St. Mary's Healthcare | 48 Erie Blvd, Canajoharie, NY 13317-1133 |
| Darlene A Euler | Chiropractic | 77 Mohawk St, Canajoharie, NY 13317-1145 |
| City | CANAJOHARIE |
| Zip Code | 13317 |
| Specialty | PSYCHOLOGIST, CLINICAL |
| City + Specialty | CANAJOHARIE + PSYCHOLOGIST, CLINICAL |
Please comment or provide details below to improve the information on Michael Norman Divak.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.