Individual
IBRAHIM M NASSER
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
451 CLARKSON AVE, BLDG C ROOM 1117, BROOKLYN, NY 11203
(718) 245-7298
(718) 245-7195
Mailing address
6 BULLMAN COURT, CLARK, NJ 07066
(732) 381-1774
(732) 381-1774
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
167020
NY
208100000X
Physical Medicine & Rehabilitation Physician
25MA05366600
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
WI00974158
—
NY
Enumeration date
02/17/2006
Last updated
07/08/2007
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