Individual
DR. MIKA ISHITANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
1600 PARKER AVE, STE #1, FORT LEE, NJ 07024-7050
(201) 302-9993
(201) 302-9994
Mailing address
1600 PARKER AVE, STE #1, FORT LEE, NJ 07024-7050
(201) 302-9993
(201) 302-9994
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
38MC00633500
NJ
Other
Enumeration date
12/09/2005
Last updated
04/06/2017
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