Shimmyo, Mitsugu

Shimmyo, Mitsugu is an sole proprietor health care provider with primary practice located at 345 E 37Th St Suite 203, New York NY 10016-3256. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Shimmyo, Mitsugu can be contacted via phone (212) 867-5700.

Contact Information

Primary practice address
345 E 37Th St Suite 203 New York NY 10016-3256
Fax: (212) 867-5731
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 110050 New York

Profile Details

NPI number 1902996846
LBN Legal business name Shimmyo, Mitsugu
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 13th, 2006
Last updated Jul 8th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1902996846 NPPES
New York MEDICAID 00196130

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