Provider Demographics
NPI:1619208907
Name:NIPPON SHINRYOJO LTD
Entity Type:Organization
Organization Name:NIPPON SHINRYOJO LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:H
Authorized Official - Last Name:TACHIBANA
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:917-952-7405
Mailing Address - Street 1:355 MCCLOUD DR
Mailing Address - Street 2:
Mailing Address - City:FORT LEE
Mailing Address - State:NJ
Mailing Address - Zip Code:07024-4632
Mailing Address - Country:US
Mailing Address - Phone:201-461-2734
Mailing Address - Fax:201-461-2734
Practice Address - Street 1:130 E 40TH ST
Practice Address - Street 2:SUITE 1200
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10016-0941
Practice Address - Country:US
Practice Address - Phone:212-213-3100
Practice Address - Fax:212-213-4100
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-01-26
Last Update Date:2010-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYN003495213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatristGroup - Single Specialty