Individual
CLAUDINE KIPP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
161 FORT WASHINGTON AVE, NEW YORK, NY 10032-3729
(212) 305-1021
Mailing address
630 W 168TH ST # 4, NEW YORK, NY 10032-3725
(718) 920-2961
(718) 920-2058
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
009775
NY
Other
Enumeration date
10/12/2006
Last updated
04/05/2021
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