Nitta, Kazuko

Nitta, Kazuko is an individual health care provider with primary practice located at 169 Riverside Dr , Binghamton NY 13905-4246. She recently has only one registered license in Allopathic & Osteopathic Physicians / Clinical Pathology/Laboratory Medicine, which is considered as her primary health care specialty. Nitta, Kazuko can be contacted via phone (607) 772-9462.

Contact Information

Primary practice address
169 Riverside Dr Binghamton NY 13905-4246
Fax: (607) 772-1223
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Clinical Pathology/Laboratory Medicine 207ZP0105X 164963 New York

Profile Details

NPI number 1912991613
LBN Legal business name Nitta, Kazuko
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 8th, 2005
Last updated Jul 19th, 2007 - about 17 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 1912991613 NPPES
New York MEDICAID 01682493

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