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1992415327
HASSAN IBRAHIM
WOODSIDE, NY
NPI
1992415327
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: NY 404631)
Enumeration Date
2022-11-28
Last Update Date
2022-11-28
Business Address
HASSAN IBRAHIM PMH NP
5611 30TH AVE
WOODSIDE, NY 11377-7956
Phone number: 646-761-9279
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Mailing Address
HASSAN IBRAHIM PMH NP
5611 30TH AVE
WOODSIDE, NY 11377-7956
Phone number: 646-761-9279
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