Individual provider · Type 1 NPI

Bishoy Ibrahim

Student in an Organized Health Care Education/Training Program · Syracuse, NY

NPI number 1104768324 Active

Practice location

301 Prospect Ave
Syracuse, NY 13203-1899

Call (315) 448-5111 Map

Fax (315) 448-6313

Mailing address

69 Normandale Dr
Rochester, NY 14624-1715

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1104768324

Bishoy Ibrahim's National Provider Identifier is 1104768324, issued on Apr 7, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Syracuse, NY. The record was last updated on Apr 7, 2026.