Individual
KOTO ISHIDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
240 E 38TH ST, 15TH FLOOR, NEW YORK, NY 10016-2708
(646) 501-7650
Mailing address
222 E 41ST ST FL 10, NEW YORK, NY 10017-6739
(212) 263-7744
(212) 263-7721
Taxonomy
Speciality
Code
Description
License number
State
2084V0102X
Vascular Neurology Physician
Primary
268785
NY
2084V0102X
Vascular Neurology Physician
MD444817
PA
Other
Enumeration date
06/25/2008
Last updated
04/19/2021
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