Individual
KENJI OKUMURA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
100 WOODS RD, VALHALLA, NY 10595-1530
(914) 493-7000
Mailing address
100 WOODS RD DEPT OF, VALHALLA, NY 10595-1530
(914) 493-8099
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
313638
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/02/2016
Last updated
06/27/2024
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