Michael Herzog, LCSW-R

NPI 1861703266 · on the registry since 2010

Practice

Address: 4 Commerce Lane
Canton, NY 13617
Phone: (315) 386-8191
Fax: (315) 386-1410
Organisation at this address: United Cerebral Palsy Assoc Of The North Country Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 21

Registry record

Primary taxonomy: 1041C0700X
1041C0700X
Licence states on file: NY
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2010-06-30

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York