Individual
ICHIRO OKANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
535 E 70TH ST, NEW YORK, NY 10021-4898
(917) 260-4524
Mailing address
525 E 72ND ST APT 16D, NEW YORK, NY 10021-9606
(716) 428-1757
Taxonomy
Speciality
Code
Description
License number
State
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
107227-01
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/22/2020
Last updated
04/21/2021
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