Individual
IZUMI JULIA WATANABE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1184 5TH AVE, NEW YORK, NY 10029-6503
(212) 241-9500
Mailing address
1184 5TH AVE FL 8, NEW YORK, NY 10029-6503
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
315147
NY
Other
Enumeration date
03/28/2019
Last updated
02/19/2022
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