Organization
NORTH BROADWAY MEDICAL FAMILY PRACTICE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NOOR IBRAHEEM MD (PHYSICIAN OWNER)
(914) 359-8750
Entity
Organization
Contact information
Practice address
469 N BROADWAY, DR. NOOR IBRAHEEM, YONKERS, NY 10701-1960
(914) 359-8750
Mailing address
469 N BROADWAY, DR. NOOR IBRAHEEM, YONKERS, NY 10701-1960
(914) 359-8750
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
338031
LICENSE
NY
Enumeration date
09/06/2025
Last updated
09/06/2025
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