Individual
MRS. MAUREEN IBRAHIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
270 PARK AVE, HUNTINGTON, NY 11743-2787
(631) 351-2463
(631) 351-4199
Mailing address
270 PARK AVE, HUNTINGTON, NY 11743-2787
(631) 351-2463
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F306735
NY
Other
Enumeration date
06/24/2015
Last updated
06/24/2015
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