Kagetsu, Nolan J

Kagetsu, Nolan J is an individual health care provider with primary practice located at 1000 10Th Avenue , New York NY 10019. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Radiological Physics, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Kagetsu, Nolan J can be contacted via phone (212) 590-2930.

Contact Information

Primary practice address
1000 10Th Avenue New York NY 10019
Phone: (212) 590-2930
Fax: (212) 590-2982
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Radiological Physics 2085R0205X 166260 New York
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 166260 New York

Profile Details

NPI number 1467489625
LBN Legal business name Kagetsu, Nolan J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 26th, 2006
Last updated Nov 3rd, 2011 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1467489625 NPPES
New York MEDICAID 01256880

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