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1568107910
SANDY IBRAHIM
STATEN ISLAND, NY
NPI
1568107910
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: NY 028548)
Enumeration Date
2022-04-30
Last Update Date
2022-07-29
Business Address
SANDY IBRAHIM PA
475 SEAVIEW AVE
STATEN ISLAND, NY 10305-3436
Phone number: 718-226-9000
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Mailing Address
SANDY IBRAHIM PA
1 CAMPUS RD
STATEN ISLAND, NY 10301-4479
Phone number: 917-273-2041
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