Individual
TAKEKO TAKESHIGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
234 E 149TH STREET, BRONX, NY 10451
(718) 579-5830
Mailing address
PO BOX 3514, WAYNE, NJ 07474-3514
Taxonomy
Speciality
Code
Description
License number
State
207VX0000X
Obstetrics Physician
Primary
215907
NY
Other
Enumeration date
01/17/2007
Last updated
05/07/2015
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