Individual
AI ITOKU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3326 BAINBRIDGE AVE, BRONX, NY 10467-2800
(718) 655-1120
Mailing address
3326 BAINBRIDGE AVE, BRONX, NY 10467-2800
(718) 655-1120
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
312034
NY
2080P0210X
Pediatric Nephrology Physician
Primary
312034
NY
Other
Enumeration date
06/19/2018
Last updated
06/04/2024
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