Organization
ST. LUKE'S COUNSELING MEDICAL CENTER L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH G.A. IBRAHIM MD (OWNER)
(201) 779-3320
Entity
Organization
Contact information
Practice address
59 SEELEY AVE, KEARNY, NJ 07032-3120
(201) 428-1040
(201) 428-1161
Mailing address
59 SEELEY AVE, KEARNY, NJ 07032-3120
(201) 428-1040
(201) 428-1161
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
—
—
Other
Enumeration date
02/26/2019
Last updated
02/26/2019
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