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Dr. Robert Michael Ibraham, PHD,CASAC-M
Addiction (Substance Use Disorder) Counselor in Bay Shore, New York
NPI 1932683323

Robert Michael Ibraham is an Addiction (Substance Use Disorder) Counselor based in Oakdale, NY and is specialized in Addiction (Substance Use Disorder). Robert Michael Ibraham practices in Bay Shore, NY and has the professional credentials of PHD,CASAC-M. The NPI Number for Robert Michael Ibraham is 1932683323 and holds a License No. (New York).

The current practice location address for Robert Michael Ibraham is 1448 5Th Ave, Bay Shore, NY and can be reached out via phone at 631-650-0117 and via fax at 631-309-6833.

Location: 1448 5Th Ave, Bay Shore, NY, 11769-1529
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1932683323
Provider Name
Robert Michael Ibraham
Credential
PHD,CASAC-M
Provider Entity Type
Individual
Gender
Male
Address
1448 5Th Ave, Bay Shore, NY, 11769-1529
Phone Number
631-650-0117
Fax Number
631-309-6833
Provider Enumeration Date
09/20/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1448 5Th Ave
City
Bay Shore
State
New York
Zip
11706-4147
Phone Number
631-650-0117
Fax Number
631-309-6833
person
Provider Business Mailing Address Details
Address
1448 5Th Ave
City
Bay Shore
State
New York
Zip
11706-4147
Phone Number
631-650-0117
Fax Number
631-309-6833
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
34794 (New York)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
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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