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Dr. Jairus Tesorero Ibabao, MD
Hematology & Oncology Physician in Jamestown, New York
NPI 1568465458

Jairus Tesorero Ibabao is a Hematology & Oncology Physician based in Orchard Park, NY and is specialized in Hematology & Oncology. Jairus Tesorero Ibabao practices in Jamestown, NY and has the professional credentials of MD. The NPI Number for Jairus Tesorero Ibabao is 1568465458 and holds a License No. 193284 (New York).

The current practice location address for Jairus Tesorero Ibabao is 21 Porter Ave, Jamestown, NY and can be reached out via phone at 716-664-1909 and via fax at 716-664-2214.

Location: 21 Porter Ave, Jamestown, NY, 14127-1238
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1568465458
Provider Name
Jairus Tesorero Ibabao
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
21 Porter Ave, Jamestown, NY, 14127-1238
Phone Number
716-664-1909
Fax Number
716-664-2214
Provider Enumeration Date
05/24/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
714714 01 NY MVP
005244934 01 NY BLUE CROSS BLUE SHIELD
7200341 01 NY GHI
830006548 01 NY RAILROAD MEDICARE
10352702 01 NY UNIVERA
0191329 01 NY INDEPENDENT HEALTH
1294660001 01 NY DME
01830340 05 NY
institution
Provider Business Practice Location Address Details
Address
21 Porter Ave
City
Jamestown
State
New York
Zip
14701-6247
Phone Number
716-664-1909
Fax Number
716-664-2214
person
Provider Business Mailing Address Details
Address
21 Porter Ave
City
Jamestown
State
New York
Zip
14701-6247
Phone Number
716-664-1909
Fax Number
716-664-2214
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Hematology & Oncology
Taxonomy
207RH0003X
License No.
193284 (New York)
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
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