OMAR A IBRAHIM

NEW YORK, NY
NPI1679212849
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
Enumeration Date2022-06-03
Last Update Date2022-06-03
Business Address
OMAR A IBRAHIM
630 W 168TH ST
NEW YORK, NY 10032-3725
Phone number: 212-305-2500
Mailing Address
OMAR A IBRAHIM
153 GULL DIP RD
RIDGE, NY 11961-2987
Phone number: 347-963-1637