Ky-Miyasaka, Alex Jenny

Ky-Miyasaka, Alex Jenny is an sole proprietor health care provider with primary practice located at 5 East 98Th Street 14Th Fl, New York NY 10029-6574. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Colon & Rectal Surgery. Allopathic & Osteopathic Physicians / Surgery is her primary health care specialty. Ky-Miyasaka, Alex Jenny can be contacted via phone (212) 241-1303.

Contact Information

Primary practice address
5 East 98Th Street 14Th Fl New York NY 10029-6574
Phone: (212) 241-1303
Fax: (212) 534-2654
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 203197 New York
Allopathic & Osteopathic Physicians / Colon & Rectal Surgery 208C00000X 203197 New York

Profile Details

NPI number 1154398568
LBN Legal business name Ky-Miyasaka, Alex Jenny
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 3rd, 2006
Last updated Nov 15th, 2011 - about 14 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 1154398568 NPPES
New York MEDICAID 02081854

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