Individual
ANN SAMIR YASIN IBRAHIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1 BAY AVE, MONTCLAIR, NJ 07042-4837
(862) 333-4700
Mailing address
1 BAY AVE, MONTCLAIR, NJ 07042-4837
(862) 333-4700
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/27/2026
Last updated
03/27/2026
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