Nasser, Ibrahim M

Nasser, Ibrahim M is an individual health care provider with primary practice located at 451 Clarkson Ave Bldg C Room 1117, Brooklyn NY 11203. He recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as his primary health care specialty. Nasser, Ibrahim M can be contacted via phone (718) 245-7298.

Contact Information

Primary practice address
451 Clarkson Ave Bldg C Room 1117 Brooklyn NY 11203
Phone: (718) 245-7298
Fax: (718) 245-7195
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 167020 New York
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 25MA05366600 New Jersey

Profile Details

NPI number 1235104852
LBN Legal business name Nasser, Ibrahim M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 17th, 2006
Last updated Jul 8th, 2007 - about 17 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 1235104852 NPPES
New York MEDICAID WI00974158

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