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NPI Code Detail

MEDICARE: IBRAHIM FATIHA D.C. , RN, MSN

MEDICARE:   IBRAHIM  FATIHA  D.C. , RN, MSN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1111NR0400XRehabilitation Chiropractor010318NY
2163W00000XRegistered Nurse579962NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1666290OTHERNYACN GROUP IPA OF NY

General Provider Information

NPI Number : 1225241169
Entity Type Code : Individual
Provider Name (Legal Business Name) : IBRAHIM FATIHA D.C. , RN, MSN
Provider Business Mailing Address
First Line : 2242 E 4TH ST
Second Line :
City : BROOKLYN
State : NY
Zip : 11223-4823
Country : US
Telephone Number : 917-335-9868
Fax Number : 718-292-1399
Provider Business Practice Location Address
First Line : 2242 E 4TH ST
Second Line :
City : BROOKLYN
State : NY
Zip : 11223-4823
Country : US
Telephone Number : 718-569-5458
Fax Number : 718-569-5459
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/07/2007
Last Update Date : 08/20/2021

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