33D0130125 CLIA NUMBER - MAKOTO IWAHARA MD PC

Laboratory Demographics

CLIA Number: 33D0130125

Facility Name: MAKOTO IWAHARA MD PC

Facility Address:
120 EAST 79TH STREET
NEW YORK, NY
ZIP 10075
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Facility Phone Number: 212 879-2328

Facility Type: Physician Office

Certificate Type: Microscopy

NPI Number: 1366627143

Taxonomy: 207RG0100X - Internal Medicine
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

CLIA Record

Field Name	Field Value
CLIA Number	33D0130125
LAB Type	Physician Office
Facility Name	MAKOTO IWAHARA MD PC
Street	120 EAST 79TH STREET
City	NEW YORK
State	NY
ZIP	10075
Phone	212 879-2328
CertificateType	3
CertificateEffectiveDate	4/15/2024
CertificateExpirationDate	4/14/2026
FacilityType	PPMP

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This page was last updated on: 4/23/2024