Ibraham, Robert Michael

Ibraham, Robert Michael is an individual health care provider with primary practice located at 2075 New York Ave , Huntington Station NY 11746-3238. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Group Psychotherapy, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Ibraham, Robert Michael can be contacted via phone (631) 351-7112.

Contact Information

Primary practice address
2075 New York Ave Huntington Station NY 11746-3238
Phone: (631) 351-7112
Fax: (631) 351-0862
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 34794 New York
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 103TA0400X P128122 New York
Behavioral Health & Social Service Providers / Group Psychotherapy 103TP2701X P128122 New York
Behavioral Health & Social Service Providers / Clinical 103TC0700X P128122 New York

Profile Details

NPI number 1932683323
LBN Legal business name Ibraham, Robert Michael
Credentials PHD, CASAC-M
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 20th, 2018
Last updated Jun 26th, 2024 - about 5 months 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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