Provider Demographics
NPI:1952730772
Name:IBRAHIM, RIHAM MAGDI KAMEL (PT)
Entity Type:Individual
Prefix:
First Name:RIHAM
Middle Name:MAGDI KAMEL
Last Name:IBRAHIM
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22 GLENN DR
Mailing Address - Street 2:
Mailing Address - City:WOODBURY
Mailing Address - State:NY
Mailing Address - Zip Code:11797-2104
Mailing Address - Country:US
Mailing Address - Phone:516-672-4441
Mailing Address - Fax:
Practice Address - Street 1:22 GLENN DR
Practice Address - Street 2:
Practice Address - City:WOODBURY
Practice Address - State:NY
Practice Address - Zip Code:11797-2104
Practice Address - Country:US
Practice Address - Phone:516-672-4441
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-11-02
Last Update Date:2024-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty