Individual
NOLAN J KAGETSU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
1000 10TH AVENUE, NEW YORK, NY 10019
(212) 590-2930
(212) 590-2982
Mailing address
10 EXCHANGE PL, 14TH FLOOR - WSBS, JERSEY CITY, NJ 07302-3918
(212) 590-2982
(212) 590-2982
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
166260
NY
2085R0205X
Radiological Physics Physician
166260
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01256880
—
NY
Enumeration date
06/26/2006
Last updated
11/03/2011
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