Ichise, Masanori
Ichise, Masanori is an individual health care provider with primary practice located at 630 W 168Th St # Mc28 , New York NY 10032-3725. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Nuclear Radiology. Allopathic & Osteopathic Physicians / Nuclear Radiology is his primary health care specialty. Ichise, Masanori can be contacted via phone (212) 305-1948.Contact Information
Primary practice address
630 W 168Th St # Mc28
New York NY 10032-3725
Phone: (212) 305-1948
Fax: (212) 305-5777
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 238962 | New York |
| Allopathic & Osteopathic Physicians / Nuclear Radiology | 2085N0904X | 238962-1 | New York |
Profile Details
| NPI number | 1598707598 |
|---|---|
| LBN Legal business name | Ichise, Masanori |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 12th, 2006 |
| Last updated | Nov 27th, 2007 - about 19 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1598707598 | NPPES |
| New York | Other | W35021 | MEDICARE GROUP # |
| New York | Other | 02186203 | MEDICARE GROUP # |
| New York | MEDICAID | 2744470 | MEDICARE GROUP # |
Popular Providers
-
Bagchi, Chaitali
506 Malcolm X Blvd Wp-522, New York NY 10037-1802 -
Tam, Kenneth C
217 Grand St Fl 9 , New York NY 10013-4286 -
Cook, Michael A.
550 1St Ave , New York NY 10016-6402 -
Friedman, Ariel Paz
227 Madison Street Medical Staff Office Room 1249, New York NY 10002 -
Feeney, John Noel
1233 York Ave 11L, New York NY 10065-6306 -
Ponzo, Fabio
560 1St Ave , New York NY 10016-6402 -
Kerr, Karolyn R
751 2Nd Ave , New York NY 10017-5906 -
Zhang, Honglei
525 E 68Th Street, Box 141, Department Of Radiology Newyork-Presbyterian - Weill Cornell Medical College, New York NY 10065-4885