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Organization

MED-VAR SURGERY, PLLC

Active
Other names
MohamedIbrahim,MD
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MOHAMED M IBRAHIM MD (SURGICAL DIRECTOR)
(716) 341-3983
Entity
Organization

Contact information

Practice address
15 ELIZABETH DR, LOCKPORT, NY 14094-5226
(716) 341-3983
(716) 433-6388
Mailing address
15 ELIZABETH DR, LOCKPORT, NY 14094-5226
(716) 341-3983
(716) 433-6388

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
242348
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02836482
NY
Enumeration date
07/10/2012
Last updated
07/10/2012
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