Individual
DR. MINA AZIZ IBRAHIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1060 5TH AVE # 1B, NEW YORK, NY 10128-0104
(212) 988-8269
Mailing address
1060 5TH AVE # 1B, NEW YORK, NY 10128-0104
(212) 988-8269
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
25MA11703000
NJ
208600000X
Surgery Physician
Primary
336278-01
NY
Other
Enumeration date
04/18/2017
Last updated
08/27/2025
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