Individual
NATHALIE IBRAHIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MDCM
Contact information
Practice address
504 E 89TH ST, NEW YORK, NY 10128-7872
(514) 400-6033
Mailing address
504 E 89TH ST, NEW YORK, NY 10128-7872
(514) 400-6033
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
Primary
P76591
NY
Other
Enumeration date
01/11/2011
Last updated
01/11/2011
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