Individual provider · NPI-1

Ibrahim Abd El-Shafy, MD

Surgery, Surgical Critical Care · Mineola, NY

NPI number1407146392
StatusActive
Last updated in NPPESApr 14, 2022

Details

NPI
1407146392
Entity type
Individual (NPI-1)
Name
Ibrahim Abd El-Shafy
Credential
MD
Sex
Male
Sole proprietor
No
Enumeration date
Apr 12, 2011
Certification date
Apr 14, 2022
Last updated
Apr 14, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2086S0102X Surgery, Surgical Critical Care313310NYYes
208600000X Surgery313310NY

Practice location

173 Mineola Blvd Ste 401
Mineola, NY 11501-2555

Phone 516-663-1145

Mailing address

173 Mineola Blvd Ste 401
Mineola, NY 11501-2555

Phone 516-663-1145

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