ISLAM IBRAHIM

ROCKAWAY PARK, NY
NPI1891314787
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: NY  015982)
Enumeration Date2020-04-10
Last Update Date2023-11-27
Business Address
ISLAM IBRAHIM
11403 BEACH CHANNEL DR
ROCKAWAY PARK, NY 11694-2204
Phone number: 718-945-7878
Mailing Address
ISLAM IBRAHIM
6730 W HIGGINS AVE
CHICAGO, IL 60656-2106
Phone number: