Provider Demographics
NPI:1720485139
Name:KAWABATA, HIROMI DOTORATOS
Entity Type:Individual
Prefix:
First Name:HIROMI
Middle Name:DOTORATOS
Last Name:KAWABATA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7 FERNCLIFF RD
Mailing Address - Street 2:
Mailing Address - City:SCARSDALE
Mailing Address - State:NY
Mailing Address - Zip Code:10583-5903
Mailing Address - Country:US
Mailing Address - Phone:914-723-0960
Mailing Address - Fax:
Practice Address - Street 1:7 FERNCLIFF RD
Practice Address - Street 2:
Practice Address - City:SCARSDALE
Practice Address - State:NY
Practice Address - Zip Code:10583-5903
Practice Address - Country:US
Practice Address - Phone:914-723-0960
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-12-01
Last Update Date:2014-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY588027-1163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health