Cory Herzog, DNP,CRNA | |
3495 Bailey Ave, Buffalo, NY 14215-1129 | |
(716) 834-9200 | |
Not Available |
Full Name | Cory Herzog |
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Gender | Male |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 3495 Bailey Ave, Buffalo, New York |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1003468190 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 647231 (New York) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | 1130963 (Texas) | Primary |
Entity Name | South Limestone Hospital District |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1861487779 PECOS PAC ID: 9032103700 Enrollment ID: O20040414000629 |
Mailing Address | Practice Location Address |
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Cory Herzog, DNP,CRNA 3495 Bailey Ave, Buffalo, NY 14215-1129 Ph: (716) 834-9200 | Cory Herzog, DNP,CRNA 3495 Bailey Ave, Buffalo, NY 14215-1129 Ph: (716) 834-9200 |
Miriam Sue Ernst, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 219 Bryant St, Cgf Anesthesia Associates Pc, Buffalo, NY 14222 Phone: 716-878-7444 Fax: 716-878-7316 | |
Ms. Alyssa Harper Miller, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2157 Main St, Buffalo, NY 14214 Phone: 716-836-7510 | |
Brian Evans, Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 818 Ellicott St, Buffalo, NY 14203 Phone: 716-323-6570 Fax: 716-323-6658 | |
Mrs. Carol Devincentis, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2157 Main St, Buffalo, NY 14214 Phone: 716-836-7510 | |
Mrs. Natalie J Kney, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 2157 Main St, Buffalo, NY 14214 Phone: 716-836-7510 Fax: 716-832-3540 | |
Raymond Joseph Masters, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 462 Grider St, Buffalo, NY 14215 Phone: 716-898-3436 |