Provider Demographics
NPI:1437687761
Name:ALIBRAHIM, ALAA ABDULKRIM T (MD)
Entity Type:Individual
Prefix:MISS
First Name:ALAA
Middle Name:ABDULKRIM T
Last Name:ALIBRAHIM
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:435 E 17TH ST
Mailing Address - Street 2:APT 11 E
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10021
Mailing Address - Country:US
Mailing Address - Phone:347-707-6425
Mailing Address - Fax:
Practice Address - Street 1:525 EAST 68TH STREET
Practice Address - Street 2:DEPARTMENT OF SURGERY
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10065
Practice Address - Country:US
Practice Address - Phone:646-962-8418
Practice Address - Fax:646-697-0074
Is Sole Proprietor?:No
Enumeration Date:2017-05-31
Last Update Date:2018-01-31
Deactivation Date:2018-01-03
Deactivation Code:
Reactivation Date:2018-01-31
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program