Healthcare Provider Details

I. General information

NPI: 1013223346
Provider Name (Legal Business Name): FEBI MAGDY IBRAHIM PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/24/2010
Last Update Date: 01/31/2023
Certification Date: 01/31/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4500 SUNRISE HWY
OAKDALE NY
11769-1012
US

IV. Provider business mailing address

4500 SUNRISE HWY
OAKDALE NY
11769-1012
US

V. Phone/Fax

Practice location:
  • Phone: 631-567-3184
  • Fax: 631-567-0424
Mailing address:
  • Phone: 631-567-3184
  • Fax: 212-219-3735

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number055052
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: