Provider Demographics
NPI:1578577904
Name:HAYASHI, MIKA (DPM)
Entity Type:Individual
Prefix:DR
First Name:MIKA
Middle Name:
Last Name:HAYASHI
Suffix:
Gender:F
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6 E 39TH ST STE 601
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10016-0135
Mailing Address - Country:US
Mailing Address - Phone:212-682-0043
Mailing Address - Fax:866-680-3849
Practice Address - Street 1:6 E 39TH ST STE 601
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10016-0135
Practice Address - Country:US
Practice Address - Phone:212-682-0043
Practice Address - Fax:866-680-3849
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-29
Last Update Date:2024-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MD00287800213ES0131X
NY006128213ES0131X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0131XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYPK4531Medicare ID - Type Unspecified