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Individual

KENNETH YUKIO USUKI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
601 ELMWOOD AVE, ROCHESTER, NY 14642-0001
(585) 273-4096
(585) 275-1531
Mailing address
601 ELMWOOD AVE, BOX-647, ROCHESTER, NY 14642-0001
(585) 275-5216
(585) 275-1531

Taxonomy

Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
255344
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
03142445
NY
05
03166612
NY
Enumeration date
08/25/2006
Last updated
07/06/2023
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