Individual
MIA MATSUDA KANAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD, MPH
Contact information
Practice address
525 E 68TH ST # 179, NEW YORK, NY 10065-4870
(866) 463-2778
Mailing address
525 E 68TH ST # 179, NEW YORK, NY 10065-4870
(866) 463-2778
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
A154810
CA
Other
Enumeration date
04/05/2015
Last updated
09/30/2025
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