Individual provider · Type 1 NPI

Shoran Benjamin Tamura

Student in an Organized Health Care Education/Training Program · New York, NY

NPI number 1396596557 Active

Practice location

622 W 168th St
New York, NY 10032-3720

Call (914) 473-5321 Map

Mailing address

84 Sheldon Ave
Tarrytown, NY 10591-6116

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 1396596557

Shoran Benjamin Tamura's National Provider Identifier is 1396596557, issued on Mar 27, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in New York, NY. The record was last updated on Mar 27, 2024.