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JIBIN MANIMALA
Physician Assistant
NPI: 1427664531Individual
Specialties, Licenses & Credentials
Physician AssistantPrimary
Physician Assistant
Code: 363A00000X
025339(NY)
CMS Specialties
PrimaryPHYSICIAN ASSISTANT
Education
OTHER
Class of 2019
Contact & Hours
- Address
- 111 E 210TH ST, NW1 BLUE ZONE
BRONX, NY 10467 - Phone
- (718) 920-6444
Quick Facts
- NPI
- 1427664531
- Entity Type
- Individual
- Gender
- Male
- Medicare
- Not confirmed
- Specialties
- 2
- Locations
- 1
- Years in Practice
- 7
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