Individual
DR. KIROLOS IBRAHIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
75 NORTH COUNTRY ROAD, MATHER HOSPITAL GME, PORT JEFFERSON, NY 11777
(631) 686-2549
Mailing address
EMORY UNIVERSITY 1364 CLIFTON RD NE, ATLANTA, GA 30322-0001
(404) 712-2000
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
88070
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/29/2017
Last updated
04/27/2021
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