Individual
ABDUL IBRAHIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
46 PONUS AVE, NORWALK, CT 06850-1920
(720) 628-9988
Mailing address
46 PONUS AVE, NORWALK, CT 06850-1920
(720) 628-9988
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
38102
CT
Other
Enumeration date
02/28/2026
Last updated
02/28/2026
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