Individual provider · Type 1 NPI

Lulu H. Ibanez, RPAC

Physician Assistant · Bronx, NY

NPI number 1114055043 Active

Practice location

4422 3rd Ave
Bronx, NY 10457-2545

Mailing address

51 Lincoln Ave, #B2
Rockville Centre, NY 11570-5750

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X0092621 (NY)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1114055043

Lulu H. Ibanez, RPAC's National Provider Identifier is 1114055043, issued on Mar 1, 2007. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Bronx, NY. The record was last updated on Jul 8, 2007.