LULU H IBANEZ

BRONX, NY
NPI1114055043
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: NY  0092621)
Enumeration Date2007-03-01
Last Update Date2007-07-08
Business Address
-- LULU H IBANEZ RPAC
4422 3RD AVE
BRONX, NY 10457-2545
Phone number: 718-960-9000
Mailing Address
-- LULU H IBANEZ RPAC
51 LINCOLN AVE #B2
ROCKVILLE CENTRE, NY 11570-5750
Phone number: 516-536-1735