Omar S Alibrahim, MD
Pediatrics, Pediatric Emergency Medicine in Buffalo, NY. Individual provider (NPI-1).
NPI number1053324913
StatusActive
Last updated in NPPESAug 17, 2021
Details
- NPI
- 1053324913
- Entity type
- Individual (NPI-1)
- Name
- Omar S Alibrahim
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 14, 2006
- Certification date
- Aug 17, 2021
- Last updated
- Aug 17, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2080P0204X | Pediatrics, Pediatric Emergency Medicine | 002564 | NY | Yes |
| 208000000X | Pediatrics | 002564 | NY | |
| 2080P0203X | Pediatrics, Pediatric Critical Care Medicine | 002564 | NY |
Practice location
219 Bryant StreetBuffalo, NY 14222-2006
Phone 716-878-7442 · Fax 716-878-7101
Mailing address
4511 Harlem RoadSuite 202
Amherst, NY 14226-3822
Phone 716-839-6720 · Fax 716-839-6740
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