Individual
DR. JODY KABAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1400 PELHAM PKWY S, BRONX, NY 10461-1138
(718) 918-3060
Mailing address
160 E 38TH ST, NEW YORK, NY 10016-2651
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
207924
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02588461
—
NY
Enumeration date
11/01/2006
Last updated
07/08/2007
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