Individual
KAZUKO NITTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
169 RIVERSIDE DR, BINGHAMTON, NY 13905-4246
(607) 772-9462
(607) 772-1223
Mailing address
5 W STATE ST, BINGHAMTON, NY 13901-2322
(607) 798-5219
(607) 798-6707
Taxonomy
Speciality
Code
Description
License number
State
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
Primary
164963
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01682493
—
NY
Enumeration date
09/08/2005
Last updated
07/19/2007
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