Individual
BRIAN K IHM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2201 HEMPSTEAD TPKE, EAST MEADOW, NY 11554-1859
(516) 572-6637
Mailing address
2201 HEMPSTEAD TPKE, EAST MEADOW, NY 11554-1859
(516) 572-6637
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
DR.0064621
CO
208M00000X
Hospitalist Physician
Primary
DR.0064621
CO
390200000X
Student in an Organized Health Care Education/Training Program
—
NY
Other
Enumeration date
04/26/2017
Last updated
07/23/2020
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