Individual
YUKO ISHIKAWA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
245 W 29TH ST, NEW YORK, NY 10001-5208
(000) 000-0000
Mailing address
245 W 29TH ST RM 405, NEW YORK, NY 10001-5437
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
001433
NY
Other
Enumeration date
01/19/2018
Last updated
10/11/2019
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