Individual
MICHELLE YUKO CHIN KAKU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1468 MADISON AVE BLDG 2ND, NEW YORK, NY 10029-6508
(212) 241-1639
Mailing address
1468 MADISON AVE, NEW YORK, NY 10029-6508
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
266929
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110117871A
—
MA
Enumeration date
06/24/2011
Last updated
04/05/2023
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