Individual
BASHEER IBRAHIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Contact information
Practice address
1552 SAINT JOHNS PL, BROOKLYN, NY 11213-3917
(302) 312-0839
Mailing address
1552 SAINT JOHNS PL, BROOKLYN, NY 11213-3917
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
983961
NY
Other
Enumeration date
07/15/2025
Last updated
07/15/2025
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