NSIBIETOBONG JACOB EDET

BRONX, NY
NPI1255654604
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
(Licence: NY  013906-1)
Enumeration Date2010-03-11
Last Update Date2010-03-11
Business Address
-- NSIBIETOBONG JACOB EDET
1182 WOODYCREST AVE
BRONX, NY 10452-3722
Phone number: 646-401-6433
Mailing Address
-- NSIBIETOBONG JACOB EDET
1182 WOODYCREST AVE
BRONX, NY 10452-3722
Phone number: 646-401-6433
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