Organization
ISLAND MEDICAL AND PSYCHIATRIC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SYED T. IBRAHIM (OWNER)
(856) 221-8225
Entity
Organization
Contact information
Practice address
428 E 148TH ST, BRONX, NY 10455-4188
(856) 221-8225
Mailing address
428 E 148TH ST, BRONX, NY 10455-4188
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
09/27/2022
Last updated
09/27/2022
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