Individual
YOSHIMI HISAMOTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
601 ELMWOOD AVE, ROCHESTER, NY 14642-3139
(585) 275-2808
(585) 275-3683
Mailing address
601 ELMWOOD AVE BOX 631, ROCHESTER, NY 14642-0001
(585) 275-2808
(585) 275-3683
Taxonomy
Speciality
Code
Description
License number
State
2084E0001X
Epilepsy Physician
292443
NY
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
Primary
292443
NY
2084N0600X
Clinical Neurophysiology Physician
292443
NY
Other
Enumeration date
03/21/2013
Last updated
10/23/2023
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