Individual
IMAN IBRAHIM
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
70 E SUNRISE HWY, 5TH FL., VALLEY STREAM, NY 11581-1233
(516) 825-3600
(516) 823-2096
Mailing address
1000 ZECKENDORF BLVD, GARDEN CITY, NY 11530-2133
(516) 542-6880
(516) 542-5556
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
199881
NY
Other
Enumeration date
06/09/2006
Last updated
07/08/2007
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