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1821788951
KRISTEN ALYSSA IBRAHIM
BRONX, NY
NPI
1821788951
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363AM0700X Physician Assistant, Medical
Enumeration Date
2023-05-11
Last Update Date
2023-05-11
Business Address
KRISTEN ALYSSA IBRAHIM
1825 EASTCHESTER RD
BRONX, NY 10461-2301
Phone number: 718-904-2000
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Mailing Address
KRISTEN ALYSSA IBRAHIM
249 S 1ST ST
LINDENHURST, NY 11757-4918
Phone number: 631-356-5263
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