Individual
ADHAM IBRAHIM ALBASHAIREH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1924 74TH ST, BROOKLYN, NY 11204-5754
(714) 391-2440
Mailing address
1924 74TH ST, BROOKLYN, NY 11204-5754
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
7987901
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7987901
—
NY
Enumeration date
06/01/2022
Last updated
06/01/2022
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