Richard Mizuguchi
Dermatologist
10 Union Sq E Suite 3c
New York
, New York 10003-3314
Richard Mizuguchi
Dermatologist
10 Union Sq E Suite 3c
New York
, New York 10003-3314
(212) 844-8800
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About
Features
Specialties
- Dermatologist
Languages spoken
- English
Location
First Address
- Richard Mizuguchi
- Po Box 95000-2442
- Philadelphia, PA
- Zip : 19195-2442
- Phone : (212) 844-8800
Second Address
- Richard Mizuguchi
- 10 Union Sq E Suite 3c
- New York, NY
- Zip : 10003-3314
- Phone : (212) 523-5898
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207N00000X | Dermatologist | 224462 | NY |
National Provider Identifier
| NPI | 1013990449 |
|---|---|
| Provider Name | Richard Mizuguchi |
| First Address | Philadelphia, PA 19195-2442 |
| Second Address | New York, NY 10003-3314 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 21/11/2005 |
| Last Update Date | 06/12/2012 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 02317522 | (05) | NY |
| G70272 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.