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1508446774
KODY KENSHIRO SUMIDA
BROOKLYN, NY
NPI
1508446774
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2021-04-12
Last Update Date
2023-04-14
Business Address
Dr. KODY KENSHIRO SUMIDA DO
450 CLARKSON AVE
BROOKLYN, NY 11203-2012
Phone number: 718-270-8867
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Mailing Address
Dr. KODY KENSHIRO SUMIDA DO
450 CLARKSON AVE
BROOKLYN, NY 11203-2012
Phone number: 808-227-3723
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