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Individual

AMBER EBRAHIM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
1000 10TH AVE, PATHOLOGY DEPT., NEW YORK, NY 10019-1147
(212) 420-2124
(212) 420-3449
Mailing address
FIRST AVENUE AT 16TH STREET, PATHOLOGY DEPT., NEW YORK, NY 10003
(212) 420-2124
(212) 420-3449

Taxonomy

Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
243536
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02879041
NY
Enumeration date
05/24/2007
Last updated
11/27/2007
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