Individual
SHUICHI YOSHITAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
601 ELMWOOD AVE, ROCHESTER, NY 14642-0001
(585) 275-2735
Mailing address
106 E SQUIRE DR APT 5, ROCHESTER, NY 14623-1828
(585) 451-5863
Taxonomy
Speciality
Code
Description
License number
State
2086S0120X
Pediatric Surgery Physician
294772
NY
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
272442
NY
Other
Enumeration date
09/07/2018
Last updated
06/30/2023
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