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Organization
MAKOTO IWAHARA, MD, PC
Active
Organization
MAKOTO IWAHARA, MD, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MAKOTO IWAHARA M.D. (PRESIDENT)
(212) 879-2328
Entity
Organization
Contact information
Practice address
120 E 79TH ST, SUITE 1C, NEW YORK, NY 10075-0319
(212) 879-2328
(212) 879-1933
Mailing address
120 E 79TH ST, SUITE 1C, NEW YORK, NY 10075-0319
(212) 879-2328
(212) 879-1933
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
147656
NY
Other
Enumeration date
10/01/2006
Last updated
02/13/2008
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