Individual
DANIELLE MICHIYO IKOMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
550 1ST AVE, NEW YORK, NY 10016-6402
(212) 263-5506
Mailing address
550 FIRST AVENUE, DEPARTMENT OF OBSTETRICS AND GYNECOLOGY, NEW YORK, NY 10016
(212) 263-5506
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
333454
NY
207V00000X
Obstetrics & Gynecology Physician
R-11286
IA
390200000X
Student in an Organized Health Care Education/Training Program
333454-01
NY
Other
Enumeration date
06/05/2018
Last updated
08/27/2025
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