Individual
DR. FABIO M IWAMOTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
710 W 168TH ST, NEW YORK, NY 10032-3726
(212) 342-0571
(212) 342-1246
Mailing address
710 W 168TH ST, NEW YORK, NY 10032-3726
(212) 342-0571
(212) 342-1246
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
264009
NY
Other
Enumeration date
07/08/2010
Last updated
08/28/2014
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