Individual
JENNIFER NISHIMURA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
530 1ST AVE # 9V, NEW YORK, NY 10016-6402
(212) 263-3982
Mailing address
530 1ST AVE # 9V, NEW YORK, NY 10016-6402
(212) 263-3982
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
303485
NY
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
MD2021-0661
NM
Other
Enumeration date
04/13/2013
Last updated
03/05/2026
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