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1053950931
JIBY PHILIP
PLAINVIEW, NY
NPI
1053950931
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: NY 344778)
Enumeration Date
2019-12-25
Last Update Date
2019-12-25
Business Address
JIBY PHILIP
22 SUMMIT CT
PLAINVIEW, NY 11803-1445
Phone number: 631-220-1765
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Mailing Address
JIBY PHILIP
22 SUMMIT CT
PLAINVIEW, NY 11803-1445
Phone number: 631-220-1765
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