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Individual

KOICHI TOGAWA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
500 8TH AVE RM 906, NEW YORK, NY 10018-4190
(718) 852-5552
(718) 852-5666
Mailing address
500 8TH AVE RM 906, NEW YORK, NY 10018-4190

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
20616
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
20616
CREDENTIALS
NY
Enumeration date
09/13/2013
Last updated
09/13/2013
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