person
Amenah Ibrahim, DO
Student in an Organized Health Care Education/Training Program in Port Jefferson, New York
NPI 1043913981

Amenah Ibrahim is a Student in an Organized Health Care Education/Training Program based in Port Jefferson, NY. Amenah Ibrahim practices in Port Jefferson, NY and has the professional credentials of DO. The NPI Number for Amenah Ibrahim is 1043913981 and holds a License No. (New York).

The current practice location address for Amenah Ibrahim is 75 N Country Rd, Port Jefferson, NY and can be reached out via phone at 631-686-2549 and via fax at 631-686-7651.

Location: 75 N Country Rd, Port Jefferson, NY, 11777-2190
person
Provider Profile Details
NPI Number
1043913981
Provider Name
Amenah Ibrahim
Credential
DO
Provider Entity Type
Individual
Gender
Female
Address
75 N Country Rd, Port Jefferson, NY, 11777-2190
Phone Number
631-686-2549
Fax Number
631-686-7651
Provider Enumeration Date
03/22/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
75 N Country Rd
City
State
Zip
11777-2190
Phone Number
631-686-2549
Fax Number
631-686-7651
person
Provider Business Mailing Address Details
Address
75 N Country Rd
City
State
Zip
11777-2190
Phone Number
631-686-2549
Fax Number
631-686-7651
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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