Individual provider · Type 1 NPI

Ivan Matsumoto

Specialist · New York, NY

NPI number 1689036816 Active

Practice location

444 W 54th St, Apt # 12
New York, NY 10019-7605

Call (808) 226-3431 Map

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X22MA1267932 (NY)

Specialist: 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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About NPI 1689036816

Ivan Matsumoto's National Provider Identifier is 1689036816, issued on Mar 26, 2016. The primary taxonomy on file is Specialist (174400000X), and the practice location is in New York, NY. The record was last updated on Mar 26, 2016.