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Individual

DR. FAY MIZUE OHSUMI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
117 E 84TH ST, SUITE #1B, NEW YORK, NY 10028-0902
(212) 288-8121
(212) 288-6311
Mailing address
117 E 84TH ST, SUITE #1B, 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
12/08/2006
Last updated
02/26/2010
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