Individual
ELAINE TSUKAYAMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
117 BUSINESS PARK DR, UTICA, NY 13502-6303
(315) 798-1543
Mailing address
117 BUSINESS PARK DR, UTICA, NY 13502-6303
(315) 798-1543
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
292820
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05081741
—
NY
Enumeration date
06/25/2010
Last updated
09/21/2023
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