Organization
MANHATTAN WELLNESS MEDICAL CARE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TOMONORI NAKAGAMA M.D. (MEMBER)
(212) 575-8910
Entity
Organization
Contact information
Practice address
15 W 44TH ST, 10TH FLOOR, NEW YORK, NY 10036-6611
(212) 575-8910
(212) 575-1830
Mailing address
15 W 44TH ST, 10TH FLOOR, NEW YORK, NY 10036-6611
(212) 575-8910
(212) 575-1830
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
239417
NY
207Q00000X
Family Medicine Physician
277398
NY
2084P0800X
Psychiatry Physician
256052
NY
208D00000X
General Practice Physician
Primary
256704
NY
Other
Enumeration date
03/11/2009
Last updated
07/07/2015
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