Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RG0300X | Geriatric Medicine | 299704 | NY |
NPI | 1093167611 |
---|---|
Provider Name | Dr. Caitlyn Kuwata |
First Address | Norwalk, CT 06850-3815 |
Second Address | Norwalk, CT 06850-3815 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 07/07/2016 |
Last Update Date | 17/05/2021 |