Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Makoto Iwahara, MD, PC

Organization Specialist · NPI 1417040700

Makoto Iwahara, MD, PC provides Specialist services in New York, New York. Licensed in New York. Registered with an NPI since 2006.

Licensed in
NY
In the registry since
2006
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

120 E 79th St Ste 1C
New York, NY 10075-0319 Not confirmed with CMS for 18 years — call before visiting
Phone: (212) 879-2328
Fax: (212) 879-1933
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 147656 (NY)

Record details

NPI number1417040700
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Makoto Iwahara — President · (212) 879-2328
NPI enumeratedOctober 1, 2006
Last updated in NPPESFebruary 13, 2008
Mailing address120 E 79th St, Suite 1c, New York, NY 10075-0319

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