Ivan Matsumoto is a Specialist based in New York, NY. Ivan Matsumoto practices in New York, NY. The NPI Number for Ivan Matsumoto is 1689036816 and holds a License No. 22MA1267932 (New York).
The current practice location address for Ivan Matsumoto is 444 W 54Th St, New York, NY and can be reached out via phone at 808-226-3431.
Location: 444 W 54Th St, New York, NY, 10019-7605
Provider Profile Details
NPI Number
1689036816
Provider Name
Ivan Matsumoto
Credential
Provider Entity Type
Individual
Gender
Male
Address
444 W 54Th St, New York, NY, 10019-7605
Phone Number
808-226-3431
Fax Number
Provider Enumeration Date
03/26/2016
Last Update Date
03/09/2024
Provider Business Practice Location Address Details
Address
444 W 54Th St
City
State
Zip
10019-7605
Phone Number
808-226-3431
Fax Number
Provider Business Mailing Address Details
Address
444 W 54Th St
City
State
Zip
10019-7605
Phone Number
808-226-3431
Fax Number
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
License No.
22MA1267932 (New York)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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