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1679212849
OMAR A IBRAHIM
NEW YORK, NY
NPI
1679212849
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2022-06-03
Last Update Date
2022-06-03
Business Address
OMAR A IBRAHIM
630 W 168TH ST
NEW YORK, NY 10032-3725
Phone number: 212-305-2500
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Mailing Address
OMAR A IBRAHIM
153 GULL DIP RD
RIDGE, NY 11961-2987
Phone number: 347-963-1637
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