Organization
FAY MIZUE OHSUMI, MD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FAY MIZUE OHSUMI MD (MD)
(212) 288-8121
Entity
Organization
Contact information
Practice address
117 E 84TH ST, NEW YORK, NY 10028-0902
(212) 288-8121
(212) 288-6311
Mailing address
117 E 84TH ST, NEW YORK, NY 10028-0902
(212) 288-8121
(212) 288-6311
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
167316
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01768625
—
NY
Enumeration date
10/03/2005
Last updated
02/26/2010
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