Individual
CHISA HIDAKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
165 E 60TH ST, NEW YORK, NY 10022-1300
(718) 683-4570
Mailing address
165 E 60TH ST, NEW YORK, NY 10022-1300
(718) 683-4570
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
201234
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
201234
NYS LICENSE
NY
Enumeration date
03/06/2013
Last updated
03/06/2013
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