Individual provider · Type 1 NPI

Katherine E. Ibanez, P.A.-C.

Medical Physician Assistant · New York, NY

NPI number 1023300423 Active

Practice location

177 Fort Washington Ave, Room 8-004
New York, NY 10032

Call (212) 304-6920 Map

Mailing address

254 Grove St Apt 3
Jersey City, NJ 07302-4631

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XNone listed

Medical Physician Assistant: Definition to come...

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About NPI 1023300423

Katherine E. Ibanez, P.A.-C.'s National Provider Identifier is 1023300423, issued on May 4, 2011. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in New York, NY. The record was last updated on Jun 6, 2018.