Ibrahim, Jamil

Ibrahim, Jamil is an sole proprietor health care provider with primary practice located at 81A Hart St , Brooklyn NY 11206-6814. He recently has 3 registered licenses in different health care specialties including Emergency Medical Service Providers / Personal Emergency Response Attendant, Allopathic & Osteopathic Physicians / General Practice, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Ibrahim, Jamil can be contacted via phone (917) 832-3615.

Contact Information

Primary practice address
81A Hart St Brooklyn NY 11206-6814
Phone: (917) 832-3615
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Emergency Medical Service Providers / Personal Emergency Response Attendant 146D00000X 226342-1
Allopathic & Osteopathic Physicians / General Practice 208D00000X 226342 New York
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 226342 New York

Profile Details

NPI number 1245222587
LBN Legal business name Ibrahim, Jamil
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 22nd, 2005
Last updated Jun 7th, 2019 - about 5 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 1245222587 NPPES
New York MEDICAID 02332332

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