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General NPI Number Information
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NPI Number | 1205414059
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Entity Type | Individual
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Provider Name | ZENA IBRAHIM
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Gender | Female
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Dates
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Enumeration Date | 04/01/2021
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Last Update Date | 06/18/2025
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Provider Practice Location Address
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Address Line | 1220 NEW SCOTLAND RD STE 201
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City | SLINGERLANDS
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State | NY
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Zip | 12159-9386
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Country | US
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Telephone | 518-533-6550
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Fax | 518-533-6556
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Provider Business Mailing Address
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Address Line | 47 NEW SCOTLAND AVE DEPT. OF OPHTHALMOLOGY
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City | ALBANY
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State | NY
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Zip | 12208
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207WX0107X
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Taxonomy Name | Retina Specialist (Ophthalmology) Physician
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License Number | 337056
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License Number State | NY
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