person
Chisa Hidaka, MD
General Practice Physician in New York, New York
NPI 1568703106

Chisa Hidaka is a General Practice Physician based in New York, NY. Chisa Hidaka practices in New York, NY and has the professional credentials of MD. The NPI Number for Chisa Hidaka is 1568703106 and holds a License No. 201234 (New York).

The current practice location address for Chisa Hidaka is 165 E 60Th St, New York, NY and can be reached out via phone at 718-683-4570.

Location: 165 E 60Th St, New York, NY, 10022-1300
person
Provider Profile Details
NPI Number
1568703106
Provider Name
Chisa Hidaka
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
165 E 60Th St, New York, NY, 10022-1300
Phone Number
718-683-4570
Fax Number
Provider Enumeration Date
03/06/2013
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
201234 01 NY NYS LICENSE
institution
Provider Business Practice Location Address Details
Address
165 E 60Th St
City
State
Zip
10022-1300
Phone Number
718-683-4570
Fax Number
person
Provider Business Mailing Address Details
Address
165 E 60Th St
City
State
Zip
10022-1300
Phone Number
718-683-4570
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
License No.
201234 (New York)
Definition
Definition to come...
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