# TAKESHIGE MEDICAL PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1083013098
- **Authorized official:** DR. UMEKO TAKESHIGE M.D. (PRESIDENT)
- **Authorized official phone:** (917) 340-2425

## Contact information

- **Practice address:** 535 W 110TH ST APT 1D, NEW YORK, NY 10025-2021
- **Practice address phone:** (212) 864-8888
- **Practice address fax:** (212) 864-8924
- **Mailing address:** PO BOX 121, EDGEWATER, NJ 07020-0121
- **Mailing address phone:** (917) 340-2425
- **Mailing address fax:** (201) 224-4545

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | 196739 | NY | — |
| 207RB0002X | Obesity Medicine (Internal Medicine) Physician | 196739 | NY | — |
| 207RG0100X | Gastroenterology Physician | 196739 | NY | — |
| 207RI0008X | Hepatology Physician | 196739 | NY | Yes |

## Other

- **Enumeration date:** 08/14/2014
- **Last updated:** 08/14/2014