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Individual

DR. CHRISTINA KOIZUMI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
1650 SELWYN AVE, BRONX, NY 10457-7626
(718) 960-1436
(718) 960-2054
Mailing address
1650 SELWYN AVE, BRONX, NY 10457-7626
(718) 960-1436
(718) 960-2054

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
226420
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02667623
NY
Enumeration date
09/21/2006
Last updated
07/08/2007
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