Individual
KENICHI OKAMURA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
601 ELMWOOD AVE/BOX SURG-CARDIAC, ROCHESTER, NY 14642-0001
(273) 558-5275
Mailing address
172 LAC KINE DR, ROCHESTER, NY 14618-5626
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
117776-01
NY
Other
Enumeration date
10/12/2022
Last updated
10/12/2022
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