Individual provider · Type 1 NPI
Ivrose Janvier, PA
Medical Physician Assistant · New York, NY
NPI number
1821134453
Active
Practice location
506 Malcolm X Blvd
New York, NY 10037-1802
Fax (212) 939-4706
Mailing address
8449 168th St
Jamaica, NY 11432-2048
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | 009218 (NY) |
Medical Physician Assistant: Definition to come...
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About NPI 1821134453
Ivrose Janvier, PA's National Provider Identifier is 1821134453, issued on Jan 30, 2007. 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 Jul 8, 2007.