Individual
DR. GABRIEL KAZUO TSUBOYAMA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
163 W 125TH ST, 12TH FLOOR, NEW YORK, NY 10027-4436
(212) 961-8709
(212) 866-2760
Mailing address
163 W 125TH ST, 12TH FLOOR, NEW YORK, NY 10027-4436
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
178758
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02785371
—
NY
Enumeration date
10/25/2006
Last updated
07/26/2012
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