Provider Demographics
NPI:1659621464
Name:TAMANO, YUICHI
Entity Type:Individual
Prefix:MR
First Name:YUICHI
Middle Name:
Last Name:TAMANO
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:131 QUINCY ST
Mailing Address - Street 2:APT 1
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11216-1355
Mailing Address - Country:US
Mailing Address - Phone:347-406-9295
Mailing Address - Fax:
Practice Address - Street 1:131 QUINCY ST
Practice Address - Street 2:APT 1
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11216-1355
Practice Address - Country:US
Practice Address - Phone:347-406-9295
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-09-19
Last Update Date:2012-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225CA2400XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation CounselorAssistive Technology Practitioner