Individual
DR. EMAD EZZAT IBRAHIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
826 BUFFALO AVE, LINDENHURST, NY 11757-1658
(631) 957-8200
(631) 957-8201
Mailing address
826 BUFFALO AVE, LINDENHURST, NY 11757-1658
(631) 957-8200
(631) 957-8201
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
044931
NY
Other
Enumeration date
02/12/2007
Last updated
07/08/2007
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