Ibraham, Gabrielle L

Ibraham, Gabrielle L is an individual health care provider with primary practice located at 3408 Park Ave , Wantagh NY 11793-3702. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Ibraham, Gabrielle L can be contacted via phone (516) 221-2123.

Contact Information

Primary practice address
3408 Park Ave Wantagh NY 11793-3702
Phone: (516) 221-2123
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1992337422
LBN Legal business name Ibraham, Gabrielle L
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 12th, 2020
Last updated Feb 17th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1992337422 NPPES
Other FSL N/A

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