Toru Shimoji, | |
6412 Wetherole St, Apt 2c, Rego Park, NY 11374-3049 | |
(317) 801-4158 | |
Not Available |
Full Name | Toru Shimoji |
---|---|
Gender | Male |
Speciality | Podiatry |
Experience | 13 Years |
Location | 6412 Wetherole St, Rego Park, New York |
Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1215224480 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
213E00000X | Podiatrist | N006616 (New York) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Footcare Now Podiatry, Pllc | 1759613912 | 3 |
Provider Name | Footcare Now Podiatry, Pllc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1588217640 PECOS PAC ID: 1759613912 Enrollment ID: O20191022000439 |
Mailing Address | Practice Location Address |
---|---|
Toru Shimoji, 6412 Wetherole St, Apt 2c, Rego Park, NY 11374-3049 Ph: (317) 801-4158 | Toru Shimoji, 6412 Wetherole St, Apt 2c, Rego Park, NY 11374-3049 Ph: (317) 801-4158 |
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