Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KENJI IKEMURA, MD
Active Sole ProprietorKENJI IKEMURA, MD is a 207ZC0008X healthcare provider located in NEW YORK, New York. NPI 1457857617 is currently active in the NPPES registry. Verify at CMS.
207ZC0008X · NEW YORK, NY
Registration Details
- NPI Number
- 1457857617
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 4, 2018 (8.3990628059488 yrs)
- Last Updated
- Aug 19, 2024
- Licenses
-
314673-01 (NY)314673-01 (NY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1300 YORK AVENEW YORK, NY, 100654805Browse NY providers · Browse ZIP 10065
- Phone
- 9493703777
- Primary Specialty
-
207ZC0008X
207ZC0008X
- Additional Specialty
- 207ZC0008X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.