Individual
KOREY ALYSE JABEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
16 E 60TH ST, NEW YORK, NY 10022-1096
(212) 639-2000
Mailing address
1233 YORK AVE APT 18J, NEW YORK, NY 10065-6342
(704) 564-2505
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
BP10032336
TX
207W00000X
Ophthalmology Physician
Primary
290130-1
NY
207W00000X
Ophthalmology Physician
73567
GA
Other
Enumeration date
06/19/2008
Last updated
02/20/2018
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