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Masanori Ichise, MD
Nuclear Radiology Physician in New York, New York
NPI 1598707598

Masanori Ichise is a Nuclear Radiology Physician based in New York, NY and is specialized in Nuclear Radiology. Masanori Ichise practices in New York, NY and has the professional credentials of MD. The NPI Number for Masanori Ichise is 1598707598 and holds a License No. 238962 (New York).

The current practice location address for Masanori Ichise is 630 W 168Th St # Mc28, New York, NY and can be reached out via phone at 212-305-1948 and via fax at 212-305-5777. You can also correspond with Masanori Ichise through the mailing address at 630 W 168TH ST # MC28, NEW YORK, NY - 10032-3725 (mailing address contact number: 212-305-1948).

Location: 630 W 168Th St # Mc28, New York, NY, 10032-3725
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Provider Profile Details
NPI Number
1598707598
Provider Name
Masanori Ichise
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
630 W 168Th St # Mc28, New York, NY, 10032-3725
Phone Number
212-305-1948
Fax Number
212-305-5777
Provider Enumeration Date
06/12/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
W35021 01 NY MEDICARE GROUP #
02186203 01 NY MEDICAID GROUP #
2744470 05 NY
institution
Provider Business Practice Location Address Details
Address
630 W 168Th St # Mc28
City
State
Zip
10032-3725
Phone Number
212-305-1948
Fax Number
212-305-5777
person
Provider Business Mailing Address Details
Address
630 W 168Th St # Mc28
City
State
Zip
10032-3725
Phone Number
212-305-1948
Fax Number
212-305-5777
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Nuclear Radiology
Taxonomy
License No.
238962-1 (New York)
Definition
A radiologist who is involved in the analysis and imaging of radionuclides and radiolabeled substances in vitro and in vivo for diagnosis and the administration of radionuclides and radiolabeled substances for the treatment of disease.
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Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
License No.
238962 (New York)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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