Individual
DR. IBRAHIM MOSTAFA GHOBASHY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DENTAL DEGREE DDS
Contact information
Practice address
357 BROADWAY, STE 2E, AMITYVILLE, NY 11701-2748
(631) 789-7900
Mailing address
967 ASYLUM AVE, 4L, HARTFORD, CT 06105-2435
(860) 249-4717
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
031384
NY
Other
Enumeration date
08/02/2013
Last updated
08/02/2013
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