Provider Demographics
NPI:1013223346
Name:IBRAHIM, FEBI MAGDY (PHARMD)
Entity Type:Individual
Prefix:MRS
First Name:FEBI
Middle Name:MAGDY
Last Name:IBRAHIM
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4500 SUNRISE HWY
Mailing Address - Street 2:
Mailing Address - City:OAKDALE
Mailing Address - State:NY
Mailing Address - Zip Code:11769-1012
Mailing Address - Country:US
Mailing Address - Phone:631-567-3184
Mailing Address - Fax:212-219-3735
Practice Address - Street 1:4500 SUNRISE HWY
Practice Address - Street 2:
Practice Address - City:OAKDALE
Practice Address - State:NY
Practice Address - Zip Code:11769-1012
Practice Address - Country:US
Practice Address - Phone:631-567-3184
Practice Address - Fax:631-567-0424
Is Sole Proprietor?:No
Enumeration Date:2010-08-24
Last Update Date:2023-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY055052183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist