Individual
YOUSSEF IBRAHIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
374 PORT AVE, RONKONKOMA, NY 11779-4815
(917) 517-6339
Mailing address
374 PORT AVE, RONKONKOMA, NY 11779-4815
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
015387
NY
Other
Enumeration date
04/29/2026
Last updated
04/29/2026
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