Individual
REBECCA KWON MASUTANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1 GUSTAVE L LEVY PL, NEW YORK, NY 10029-6504
(212) 241-6500
(212) 426-5054
Mailing address
150 E 42ND ST FL 2, NEW YORK, NY 10017-5612
(646) 605-8119
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
312428
NY
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
312428
NY
Other
Enumeration date
06/16/2018
Last updated
05/09/2023
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