Individual
DR. KAYAKO ISHIBASHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
30 CENTRAL PARK S RM 12A, NEW YORK, NY 10019-1650
(212) 974-0205
(917) 477-0177
Mailing address
30 CENTRAL PARK S RM 12A, NEW YORK, NY 10019-1650
(212) 974-0205
(917) 477-0177
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
055122
NY
122300000X
Dentist
22DI02454200
NJ
Other
Enumeration date
08/26/2010
Last updated
01/13/2026
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