Individual provider · Type 1 NPI

Masaru Stephen Fujimoto

Student in an Organized Health Care Education/Training Program · Far Rockaway, NY

NPI number 1295315174 Active

Practice location

327 Beach 19th St
Far Rockaway, NY 11691-4423

Call (718) 869-7360 Map

Mailing address

2865 Los Altos Dr
Meridian, ID 83642-6739

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1295315174

Masaru Stephen Fujimoto's National Provider Identifier is 1295315174, issued on Apr 13, 2021. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Far Rockaway, NY. The record was last updated on Apr 13, 2021.