JIBIN MANIMALA

BRONX, NY
NPI1427664531
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
Additional Taxonomies363A00000X Physician Assistant
(Licence: NY  025339)
Enumeration Date2020-09-23
Last Update Date2021-08-31
Business Address
JIBIN MANIMALA
111 E 210TH ST
BRONX, NY 10467-2401
Phone number: 718-920-6444
Mailing Address
JIBIN MANIMALA
11 HILLVIEW PL
ELMSFORD, NY 10523-2007
Phone number: 914-909-0221
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