Individual
EISAKU OYAMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
600 E 125TH ST, NEW YORK, NY 10035-6000
(646) 672-6446
Mailing address
10920 71ST RD, APT#6B, FOREST HILLS, NY 11375-4848
(718) 820-6402
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
265689
NY
Other
Enumeration date
07/23/2012
Last updated
07/23/2012
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