Individual
DR. JUSTIN HAMILTON MCKIBBIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
LINCOLN HOSPITAL 234 E 149TH ST, BRONX, NY 10451-5504
(718) 579-5900
Mailing address
234 E 149TH ST, BRONX, NY 10451-5504
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
296735
NY
390200000X
Student in an Organized Health Care Education/Training Program
R6622
TX
390200000X
Student in an Organized Health Care Education/Training Program
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—
Other
Enumeration date
08/03/2014
Last updated
08/23/2021
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