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1023300423
KATHERINE E IBANEZ
NEW YORK, NY
NPI
1023300423
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Former Name
KATHERINE E FLAIG
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
Enumeration Date
2011-05-04
Last Update Date
2018-06-06
Business Address
Mrs. KATHERINE E IBANEZ P.A.-C.
177 FORT WASHINGTON AVE ROOM 8-004
NEW YORK, NY 10032
Phone number: 212-304-6920
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Mailing Address
Mrs. KATHERINE E IBANEZ P.A.-C.
254 GROVE ST APT 3
JERSEY CITY, NJ 07302-4631
Phone number: 609-280-0852
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