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Individual

DR. KENICHI TAKESHITA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
45 E 89TH ST, NEW YORK, NY 10128-1251
(917) 727-8353
Mailing address
45 E 89TH ST, NEW YORK, NY 10128-1251

Taxonomy

Speciality
Code
Description
License number
State
207RH0000X
Hematology (Internal Medicine) Physician
Primary
197666
NY

Other

Enumeration date
12/16/2009
Last updated
11/19/2012
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