Individual
IBRAHIM A THABET
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
750 E ADAMS ST, REGIONAL ONCOLOGY CENTER, SYRACUSE, NY 13210-2342
(315) 464-8200
(315) 464-8206
Mailing address
750 E ADAMS ST, REGIONAL ONCOLOGY CENTER, SYRACUSE, NY 13210-2342
(315) 464-8200
(315) 464-8206
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
336367
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03299685
—
NY
Enumeration date
12/17/2010
Last updated
08/23/2013
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