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

Masanori Ichise, MD

Individual provider Diagnostic Radiology Physician · NPI 1598707598

Masanori Ichise, MD is a Diagnostic Radiology Physician in New York, New York. Licensed in New York. Registered with an NPI since 2006.

Licensed in
NY
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

630 W 168th St # MC28
New York, NY 10032-3725
Phone: (212) 305-1948
Fax: (212) 305-5777
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nuclear Radiology Physician (primary) Taxonomy 2085N0904X · Licence 238962-1 (NY)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 238962 (NY)

Record details

NPI number1598707598
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 12, 2006
Last updated in NPPESNovember 27, 2007

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