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1891314787
ISLAM IBRAHIM
ROCKAWAY PARK, NY
NPI
1891314787
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: NY 015982)
Enumeration Date
2020-04-10
Last Update Date
2023-11-27
Business Address
ISLAM IBRAHIM
11403 BEACH CHANNEL DR
ROCKAWAY PARK, NY 11694-2204
Phone number: 718-945-7878
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Mailing Address
ISLAM IBRAHIM
6730 W HIGGINS AVE
CHICAGO, IL 60656-2106
Phone number:
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