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Individual

IBRAHIM FATIHA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.C. , RN, MSN

Contact information

Practice address
2242 E 4TH ST, BROOKLYN, NY 11223-4823
(718) 569-5458
(718) 569-5459
Mailing address
2242 E 4TH ST, BROOKLYN, NY 11223-4823
(917) 335-9868
(718) 292-1399

Taxonomy

Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
Primary
010318
NY
163W00000X
Registered Nurse
579962
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
666290
ACN GROUP IPA OF NY
NY
Enumeration date
05/07/2007
Last updated
08/20/2021
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