Individual
DR. BASSIEMA B IBRAHIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
975 STEWART AVE, GARDEN CITY, NY 11530-4816
(516) 745-5477
(516) 745-5476
Mailing address
975 STEWART AVE, GARDEN CITY, NY 11530-4816
(516) 745-5477
(516) 745-5476
Taxonomy
Speciality
Code
Description
License number
State
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
186413
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01506303
—
NY
Enumeration date
04/27/2006
Last updated
03/03/2021
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