Mennatallah Ibrahim
Physical Therapist in Harrison, NY. Individual provider (NPI-1).
NPI number1164073078
StatusActive
Last updated in NPPESDec 12, 2019
Details
- NPI
- 1164073078
- Entity type
- Individual (NPI-1)
- Name
- Mennatallah Ibrahim
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Sep 23, 2019
- Certification date
- Dec 12, 2019
- Last updated
- Dec 12, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | 040552 | NY | Yes |
Practice location
550 Mamaroneck Ave Ste 104Harrison, NY 10528-1612
Phone 914-777-3737 · Fax 914-777-0914
Mailing address
189 Bay 41st StBrooklyn, NY 11214-5412
Other practice locations
189 Bay 41st St
Brooklyn, NY 11214-5412
Brooklyn, NY 11214-5412
Phone 646-384-3095
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