Individual
DR. JAMIL IBRAHIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
81A HART ST, BROOKLYN, NY 11206-6814
(917) 832-3615
Mailing address
81A HART ST, BROOKLYN, NY 11206-6814
Taxonomy
Speciality
Code
Description
License number
State
146D00000X
Personal Emergency Response Attendant
226342-1
—
207P00000X
Emergency Medicine Physician
Primary
226342
NY
208D00000X
General Practice Physician
226342
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02332332
—
NY
Enumeration date
08/22/2005
Last updated
06/07/2019
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