Individual
RYOSUKE ITO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
4422 3RD AVE, BRONX, NY 10457-2545
(718) 960-9000
Mailing address
4422 3RD AVE, BRONX, NY 10457-2545
(718) 960-9000
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
267905
NY
Other
Enumeration date
09/04/2011
Last updated
02/20/2013
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