Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225CA2400X | Assistive Technology Practitioner |
NPI | 1659621464 |
---|---|
Provider Name | Mr. Yuichi Tamano |
First Address | Brooklyn, NY 11216-1355 |
Second Address | Brooklyn, NY 11216-1355 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 19/09/2012 |
Last Update Date | 19/09/2012 |