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1740634625
SHINICHIRO IKEDA
BROOKLYN, NY
NPI
1740634625
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
282N00000X General Acute Care Hospital
(Licence: NY P99679)
Enumeration Date
2016-04-18
Last Update Date
2016-04-18
Business Address
-- SHINICHIRO IKEDA M.D
4802 10TH AVE
BROOKLYN, NY 11219
Phone number: 718-283-6000
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Mailing Address
-- SHINICHIRO IKEDA M.D
836 40TH STREET APT 1L
BROOKLYN, NY 11232
Phone number: 518-364-8571
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