Individual
OMAR S ALIBRAHIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
219 BRYANT STREET, BUFFALO, NY 14222-2006
(716) 878-7442
(716) 878-7101
Mailing address
4511 HARLEM ROAD, SUITE 202, AMHERST, NY 14226-3822
(716) 839-6720
(716) 839-6740
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
002564
NY
2080P0203X
Pediatric Critical Care Medicine Physician
002564
NY
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
Primary
002564
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00027712401
UNIVERA
—
01
—
000930689001
BC/BS
—
01
—
000930689002
BC/BS
—
05
—
02806462
—
NY
01
—
061007000015
FIDELIS
—
01
—
1213990
IHA
—
Enumeration date
08/14/2006
Last updated
08/17/2021
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