Individual
KYLE SHIBUYA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1825 EASTCHESTER RD., EMERGENCY DEPARTMENT ADMINISTRATION OFFICE, BRONX, NY 10461
(718) 904-2904
Mailing address
1265 NEHOA ST, HONOLULU, HI 96822-3071
(808) 398-5952
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
293104
NY
Other
Enumeration date
04/05/2014
Last updated
07/01/2018
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