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Individual

KAZUKI SUGAHARA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D., PH.D.

Contact information

Practice address
161 FORT WASHINGTON AVE FL 8, NEW YORK, NY 10032-3729
(212) 305-9476
(212) 305-5992
Mailing address
161 FORT WASHINGTON AVE FL 8, NEW YORK, NY 10032-3729
(212) 305-9476
(212) 305-5992

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
298622
NY
208600000X
Surgery Physician
298622-1
NY
390200000X
Student in an Organized Health Care Education/Training Program
NY

Other

Enumeration date
04/04/2013
Last updated
02/06/2024
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