Individual
DR. SHUNICHI NAKAGAWA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MC
Contact information
Practice address
622 W 168TH ST, NEW YORK, NY 10032-3720
(212) 305-5098
Mailing address
630 W 168TH ST, BOX 4, NEW YORK, NY 10032-3725
(212) 659-8552
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
269216
NY
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary
269216
NY
Other
Enumeration date
04/23/2009
Last updated
07/14/2016
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