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Organization
FAY MIZUE OHSUMI, MD PLLC
Active
Organization
FAY MIZUE OHSUMI, MD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FAY MIZUE OHSUMI MD (MD)
(212) 288-8121
Entity
Organization
Contact information
Practice address
117 E 84TH ST, NEW YORK, NY 10028-0902
(212) 288-8121
(212) 288-6311
Mailing address
117 E 84TH ST, NEW YORK, NY 10028-0902
(212) 288-8121
(212) 288-6311
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
167316
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01768625
—
NY
Enumeration date
10/03/2005
Last updated
02/26/2010
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