Individual
IVROSE JANVIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
506 MALCOLM X BLVD, NEW YORK, NY 10037-1802
(212) 939-4736
(212) 939-4706
Mailing address
8449 168TH ST, JAMAICA, NY 11432-2048
(212) 939-4736
(212) 939-4706
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
009218
NY
Other
Enumeration date
01/30/2007
Last updated
07/08/2007
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