Organization
MITSUGU SHIMMYO, MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NAOMI HAYASHI M.D. (OPHTHALMOLOGIST)
(212) 867-5700
Entity
Organization
Contact information
Practice address
345 E 37TH ST, SUITE 203, NEW YORK, NY 10016-3256
(212) 867-5700
(212) 867-5731
Mailing address
345 E 37TH ST, SUITE 203, NEW YORK, NY 10016-3256
(212) 867-5700
(212) 867-5731
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
110050
NY
207W00000X
Ophthalmology Physician
228761
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00196130
—
NY
01
—
W6L461
MEDICARE GROUP NUMBER
NY
Enumeration date
08/14/2007
Last updated
08/14/2007
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