| NPI | 1184865701 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TOMONORI NAKAGAMA Member 212-575-8910 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: NY 256704) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NY 239417) |
| 207Q00000X Family Medicine (Licence: NY 277398) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NY 256052) | |
| Enumeration Date | 2009-03-11 |
| Last Update Date | 2015-07-07 |